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Full-Text Articles in Social and Behavioral Sciences
Future Orientation Among Children Affected By Parental Hiv In China: An Exploratory Analysis Of Complex Interactions, Heather L. Mcdaniel, Sayward Harrison, Amanda Fairchild, Xiaoming Li
Future Orientation Among Children Affected By Parental Hiv In China: An Exploratory Analysis Of Complex Interactions, Heather L. Mcdaniel, Sayward Harrison, Amanda Fairchild, Xiaoming Li
Faculty Publications
We utilized an exploratory analytic approach to examine predictors of children's future beliefs, an internal asset associated with resilience among children affected by HIV, with emphasis on complex interactions among multisystem factors. Children (N = 1221) affected by parental HIV in China reported on psychosocial functioning, as well as internal, familial, and community resilience assets. Exploratory data analysis was conducted using a binary segmentation program. Six binary splits on predictors accounted for 22.78% of the variance in future expectation, suggesting interactions between children's perceived control of their future, loneliness, caregiver trust, and social support. Four binary splits accounted for …
Effects Of Psychosocial Support Interventions On Survival In Inpatient And Outpatient Healthcare Settings: A Meta-Analysis Of 106 Randomized Controlled Trials, Timothy B. Smith, Julianne Holt-Lunstad
Effects Of Psychosocial Support Interventions On Survival In Inpatient And Outpatient Healthcare Settings: A Meta-Analysis Of 106 Randomized Controlled Trials, Timothy B. Smith, Julianne Holt-Lunstad
Faculty Publications
We evaluated randomized controlled trials (RCTs) of psychosocial support interventions in inpatient and outpatient healthcare settings reporting survival data, including studies reporting disease-related or all-cause mortality. LOdds ratio (OR) and hazard ratio (HR) data were analyzed separately using random effects weighted models. Of 42,054 studies searched, 106 RCTs including 40,280 patients met inclusion criteria. Across 87 RCTs reporting data for discrete time periods, the average was OR = 1.20 (95% CI = 1.09 to 1.31, p < 0.001), indicating a 20% increased likelihood of survival among patients receiving psychosocial support compared to control groups receiving standard medical care. Among those studies, psychosocial interventions explicitly promoting health behaviors yielded improved likelihood of survival, whereas interventions without that primary focus did not. Across 22 RCTs reporting survival time, the average was HR = 1.29 (95% CI = 1.12 to 1.49, p < 0.001), indicating a 29% increased probability of survival over time among intervention recipients compared to controls. Among those studies, meta-regressions identified 3 moderating variables: control group type, patient disease severity, and risk of research bias. Studies with patients having relatively greater disease severity tended to yield smaller gains in survival time relative to control groups. In this meta-analysis, OR data indicated that psychosocial behavioral support interventions promoting patient motivation/coping to engage in health behaviors improved patient survival, but interventions focusing primarily on patients’ social or emotional outcomes did not prolong life. HR data indicated that psychosocial interventions, predominantly focused on social or emotional outcomes, improved survival but yielded similar effects to health information/classes and were less effective among patients with apparently greater disease severity.
Support And Negation Of Colorectal Cancer Risk Prevention Behaviors: Analysis Of Spousal Discussions, Wendy C. Birmingham, Maija Reblin, Wendy Kohlmann, Tyler Graff
Support And Negation Of Colorectal Cancer Risk Prevention Behaviors: Analysis Of Spousal Discussions, Wendy C. Birmingham, Maija Reblin, Wendy Kohlmann, Tyler Graff
Faculty Publications
The shared social context created in a marriage may be important in motivating engagement in health behaviors, but spousal influence may not be uniformly applied. Our goal was to examine how spouses discuss health behaviors relevant for colorectal cancer (CRC) riskreduction to better understand how spouses exert or fail to exert influence. In this pilot study, first degree relatives of CRC patients and their spouses completed demographic and self-reported health questionnaires. After a genetic counseling session regarding risk and risk reduction, couples engaged in a semi-structured discussion task to discuss lifestyle choices they currently undertake or could undertake to reduce …
Relationship Quality And Oxytocin: Influence Of Stable And Modifiable Aspects Of Relationships, Wendy C. Birmingham, Julianne Holt-Lunstad, Kathleen C. Light
Relationship Quality And Oxytocin: Influence Of Stable And Modifiable Aspects Of Relationships, Wendy C. Birmingham, Julianne Holt-Lunstad, Kathleen C. Light
Faculty Publications
Prior studies report that couples with higher relationship quality show higher oxytocin (OT) levels, yet other studies report those with higher distress have increased OT. This study investigated these competing predictions in the context of a support enhancement intervention among 34 young married couples (N = 68). Preintervention marital quality (Dyadic Adjustment Scale) was examined for associations with plasma and salivary OT levels 4 weeks apart and for changes between these time points within the intervention group. High relationship quality, not distress, was associated with higher OT in both saliva and plasma at both time points. No significant interaction …
Respite Care, Marital Quality, And Stress In Parents Of Children With Autism Spectrum Disorders, Amber Harper, Tina Taylor, James Harper, Susanne Olsen Roper, Mikle South
Respite Care, Marital Quality, And Stress In Parents Of Children With Autism Spectrum Disorders, Amber Harper, Tina Taylor, James Harper, Susanne Olsen Roper, Mikle South
Faculty Publications
Parents of children with autism spectrum disorders (ASD) are at risk for having higher stress and lower marital quality than other parents. Survey data regarding respite care, marital quality, and daily hassles and uplifts were obtained from 101 mother-father dyads who were together raising at least one child with ASD (total # of children = 118). Number of hours of respite care was positively related to improved marital quality for both husbands and wives, such that a one-hour increase in weekly respite care was associated with a one-half standard deviation increase in marital quality. This relationship was significantly mediated by …
Psychological Pathways Linking Social Support To Health Outcomes: A Visit With The “Ghosts” Of Research Past, Present, And Future, Wendy C. Birmingham, Bert N. Uchino, Kimberly Bowen, Mckenzie Carlisle
Psychological Pathways Linking Social Support To Health Outcomes: A Visit With The “Ghosts” Of Research Past, Present, And Future, Wendy C. Birmingham, Bert N. Uchino, Kimberly Bowen, Mckenzie Carlisle
Faculty Publications
Contemporary models postulate the importance of psychological mechanisms linking perceived and received social support to physical health outcomes. In this review, we examine studies that directly tested the potential psychological mechanisms responsible for links between social support and health-relevant physiological processes (1980s to 2010). Inconsistent with existing theoretical models, no evidence was found that psychological mechanisms such as depression, perceived stress, and other affective processes are directly responsible for links between support and health. We discuss the importance of considering statistical/design issues, emerging conceptual perspectives, and limitations of our existing models for future research aimed at elucidating the psychological mechanisms …
Hostility & Ambulatory Blood Pressure, Elizabeth J. Vella, Thomas W. Karmarck, Saul Shiffman
Hostility & Ambulatory Blood Pressure, Elizabeth J. Vella, Thomas W. Karmarck, Saul Shiffman
Faculty Publications
This study sought to determine the role of hostility in moderating the effects of positive social interactions on ambulatory blood pressure (ABP). Design: Participants (341 adults) completed the Cook-Medley Hostility Scale and underwent ABP monitoring, assessed every 45 min during waking hours across 6 days. An electronic diary measuring mood and social interactions was completed at each ABP assessment. Main Outcome Measures: The dependent variables from the ABP monitor included systolic blood pressure, diastolic blood pressure, and heart rate.
Is There Something Unique About Marriage? The Relative Impact Of Marital Status, Relationship Quality, And Network Social Support On Ambulatory Blood Pressure And Mental Health, Wendy C. Birmingham, Julianne Holt-Lunstad, Brandon Q. Jones
Is There Something Unique About Marriage? The Relative Impact Of Marital Status, Relationship Quality, And Network Social Support On Ambulatory Blood Pressure And Mental Health, Wendy C. Birmingham, Julianne Holt-Lunstad, Brandon Q. Jones
Faculty Publications
Background Having close social relationships and being married specifically have been reliably associated with health benefits including lower morbidity and mortality. Purpose The purpose of this study was to examine the influence of marital status, relationship quality, and network support on measures of psychological and cardiovascular health. Method We examined ambulatory blood pressure (ABP) among 204 married and 99 single males and females (N=303). Results We found that both marital status and marital quality were important. Married individuals had greater satisfaction with life (SWL) and blood pressure dipping than single individuals. High marital quality was associated with lower ABP, lower …