Scott A. Ketring

Perpetrator-victim relationship: Long-term effects of sexual abuse for men and women

This study investigated the emotional and familial relationships of 465 victims and perpetrators of childhood sexual abuse. Four hundred nineteen women and 56 men who were victims of childhood sexual abuse completed the Trauma Symptom Checklist-33 (TSC-33; J. Briere & M. Runtz, 1989) and a severity of sexual abuse scale. In addition, the abuse survivors answered questions about their emotional relationships with the offender prior to the abuse. The data were analyzed with analysis of variance. The dependent variable was the adjustment to the trauma, as measured by the TSC-33. The independent variables were perpetrator identity, gender, level of abuse, and emotional feelings exhibited toward the perpetrator prior to being sexually abused. The most pervasive symptoms were found among participants who were abused by a father figure and women who were very severely abused. Contrary to theoretical expectations, there were no statistically significant differences based on gender.

Demographic Predictors of Relationship and Marriage Education Participants' Pre- and Post-Program Relational and Individual Functioning

Limited knowledge exists regarding differences in relationship and marriage education (RME) experiences based on social address. The current study examines pre- and post-program data from 1293 ethnically and economically diverse adults participating in RME programs. Investigations centered on whether race, income, marital status, and attendance status (i.e., attend with partner or singly) predicted baseline levels and change in a broad range of indicators of individual functioning, couple functioning, and confidence in ones relationship for men and women. Income was the strongest predictor of baseline levels; higher income was associated with higher entry levels in all three target areas. In addition, race predicted unique variance in individual functioning, and marital status and attendance status predicted unique variance in relational targets. Men and women demonstrated positive changes in all target areas following RME participation. Attending with a partner was the only predictor of change in target outcomes for women and was the strongest predictor of change in target outcomes for men. Lower income and being married also predicted greater change in relational functioning among men. Implications for providing RME with diverse audiences are discussed.

The Revised Inventory of Parent Attachment: Measuring Attachment in Families

This study develops the Revised Inventory of Parental Attachment (R-IPA). The Inventory of Parent and Peer Attachment (IPPA, Armsden & Greendberg, 1987), was reworded to ask parents their perspective of attachment towards their children. When used together the R-IPA and the IPPA rate attachment scripts from parent and adolescents perspectives. Results suggest the original factor structure of the IPPA does not fit the data for parents ratings on the R-IPA or adolescents ratings of mothers and fathers on the IPPA. Exploratory factor analyses demonstrate a two-factor structure for both measures. Reliability and validity of the two factors are presented. Reasons for the factor structure change are discussed.

Exploring processes of change in couple relationship education: predictors of change in relationship quality.

In the past several decades, a number of largely atheoretical individual and meta-analytic studies of couple relationship education (CRE) programs have focused on program effectiveness without considerations of how these programs work and for whom. To address this gap in the literature, the current study drew upon assumptions from social-cognitive and behavioral theories that are implicit in CRE design to assess the influence of short-term changes from pre- to posttreatment in behaviors and commitment on changes in relationship quality among a racially and economically diverse group of 2,824 individuals who participated in a CRE program. Findings from structural equation modeling indicated that the best-fitting model for both men and women was one in which changes in behaviors predicted changes in relationship quality via their influence on changes in commitment. Further, a series of moderational analyses provided some evidence to suggest that the strength of the relationships between these variables may depend to a small extent on the social address of the participants (race, income) and to a greater extent on characteristics of the CRE experience (i.e., beginning the class at lower levels of functioning, attending with a partner). Findings help us begin to understand the influences among domains of change that occur as a result of participating in a CRE program, as well as offering some useful information to practitioners on demographic and contextual moderators of program outcomes. Implications for future research on the mechanisms of change for CRE are presented.

The Development of a Reliable Change Index and Cutoff for the Revised Dyadic Adjustment Scale

The Revised Dyadic Adjustment Scale (RDAS; Busby, Crane, Larson, & Christensen, 1995) is a measure of couple relationship adjustment that is often used to differentiate between distressed and non-distressed couples. While the measure currently allows for a determination of whether group mean scores change significantly across administrations, it lacks the ability to determine whether an individuals change in dyadic adjustment is clinically significant. This study addresses this limitation by establishing a cutoff of 47.31 and reliable change index of 11.58 for the RDAS by pooling data across multiple community and clinical samples. An individual whose score on the RDAS moves across the cutoff changes by 12 or more points can be classified as experiencing clinically significant change.

Thriving in stepfamilies: exploring competence and well-being among African American youth.

Although scholars conclude that children/adolescents in two-parent nuclear families have an advantage over those in stepfamilies, emerging evidence indicates that the experiences of African American youths have been overshadowed. In three replicated studies, we detected no differences on several important and commonly assessed well-being and competence indicators among samples of African American youth in two-parent nuclear and stepfamilies.

Comparing the Experiences of Couples in First Marriages and Remarriages in Couple and Relationship Education

This study examines a diverse sample of married individuals (N = 1,542) in the context of couple and relationship education (CRE). Differences and similarities in participant well-being at baseline and overtime were examined among individuals in first marriages—with and without children from previous relationships—and various types of remarriages utilizing measures of individual, couple, and parental functioning. Additionally, we examined how the content of CRE classes influences change scores of stepfamily couples based on whether they received stepfamily-specific content or generalized CRE. Results indicate that individuals in first marriages and those in different types of remarriages appear to report similar levels of marital functioning initially and appear to benefit similarly from CRE classes. Stepfamily couples appear to benefit similarly from stepfamily-specific and generalized CRE classes, yet differences between the groups are considered in the interpretation of this finding.

Examining Attachment Avoidance and Attachment Anxiety Across Eight Sessions of Couple Therapy

This study examined initial levels of attachment anxiety and avoidance, as well as their patterns of change, across eight sessions of couple therapy. Participants were 461 couples in a treatment-as-usual setting. Dyadic latent growth modeling was used to determine whether couples started therapy at similar levels of attachment anxiety and avoidance and whether attachment anxiety and avoidance changed. An actor partner interdependence model was used to see whether partner attachment anxiety was related to avoidance. Results showed relative stability of attachment anxiety and avoidance over the course of therapy, with the only change being a slight decline in attachment anxiety among women. Results showed that a persons attachment anxiety was not related to their partners avoidance and vice versa.

Change in the health of tsunami-exposed mothers three years after the natural disaster:

Background: Women’s experiences with secondary stressors resulting from natural disasters, such as increased economic insecurity, expanded caregiving responsibilities and disrupted family life, may contribute to women’s mental and physical health problems. Aims: The present study investigates change and stability in post-tsunami depressive symptoms and perceived physical health of tsunami-exposed mothers over three and a half years. Methods: Using data from 160 tsunami-affected mothers, the present study uses structural equation modelling to investigate (1) change, stability, cross-lagged reciprocal influences of mental and physical health and (2) the meditation effect of negative life events on the relationship between tsunami exposure and post-tsunami depressive symptoms and perceived physical health of tsunami-exposed mothers from 2005 to 2008. Results: Tsunami exposure contributed to depressive symptoms among mothers independently of pre-tsunami family adversities. Average depressive symptoms showed a decline whereas poor physical health showed an increase over this period. The results also revealed an interrelated health process between depression and physical health over time. Continuity of health problems were mediated by secondary stressors that also exerted an additive effect on later health problems. Conclusions: Post-disaster intervention and recovery programmes should focus not only on mothers’ exposure to natural disasters, but also their pre- and post-natural disaster adversities. They should reach disaster-exposed mothers directly and have an integrated health approach to disrupt continuities of health problems.

Adolescents’ Intentions to Use Relationship Interventions by Demographic Group: Before and After a Relationship Education Curriculum

Although relationship education programs have been shown to be effective in promoting healthy relationships, participants are typically not from diverse backgrounds. Adolescent attitudes towards these programs and services were examined both before and after participation in a youth relationship education curriculum, Relationship Smarts Plus (RS+). The sample consisted of 1845 adolescents aged 11–18, 58% African American, 42% European American, 54.4% female, 45.6% male, from diverse family structures. Attitudes differed significantly between demographic groups at Time 1, where females and African Americans held more favorable attitudes. After RS+, attitudes significantly improved, on average, for European American males and African American females.