Couple and Family Psychology-Research and Practice最新文献

Purpose: Adolescent sexual minority males (ASMM) are three to four times more likely to experience depression or anxiety than their heterosexual peers. ASMM in romantic relationships may be at higher risk of developing anxiety and depression symptoms, yet studies examining relationship quality as a predictor of mental health ASMM is limited.

Methods: Partnered ASMM (n = 50) were recruited using online advertisements posted on social media and geo-dating mobile application. Linear regressions models were calculated to test associations between relationship quality, minority stress, and mental health (i.e.., depression, anxiety). Models adjusted for age, race, and relationship length.

Results: Relationship quality and minority stressors predicted worse mental health outcomes. Specifically, relationship quality was positively associated with depression (β = .50, p < .001) and anxiety (β = .26, p = .038). Similarly, Social marginalization was associated with depression (β = .55, p = < .001) and anxiety (β = .67, p <.001), while family rejection was only associated with depression (β = .27 p <.03).

Discussion: This study demonstrates the relevance of relationship quality and minority stress to the mental health of partnered ASMM. Unlike the pattern seen in adults, relationship quality predicted worse depression. Future research is needed to understand the mechanism in which relationship characteristics influence mental health to inform future prevention and intervention efforts.

Since the early 1990s, coparenting - a conceptual framework connecting clinical insights from structural family therapy to theory and research on development of infants and toddlers within relationship systems - has brought new perspective to family and developmental science while hinting at ramifications for clinical practice. Coparenting theory and research evolved side-by-side with careful, intensive study of mother-father-child triangular relationships in families with very young children, work that expanded in recent years to include studies of other coparent-child triangular systems, such as those involving mothers, grandmothers, and infants. Until now, however, there has been no coordinated expert guidance for bringing concepts expounded in research studies of coparenting and triangular relationships to practitioners who work in infant-family mental health and family therapy contexts. In 2022, a Collaborative of family-oriented infant mental health experts from seven countries, all bringing proficiency in assessing and working with coparenting and triangular family dynamics in research or clinical settings, organized to review and identify common agreed-upon behavioral manifestations of coparenting during triangular interactions. Recognizing four central dimensions capturing how coparents and children organize when interacting together as a triangular system (engagement, teamwork, conflict, and child focus), the International Coparenting Collaborative (ICC) explains in this report how a standardized observational assessment, the Lausanne Trilogue Play (or LTP) can be used to identify coparenting strengths and challenges and elevate practitioners' attunement to coparenting dynamics within their therapeutic contexts.

Pain coping skills training (PCST) is the predominant behavioral intervention for chronic pain. Benefiting from PCST necessitates that individuals not only complete the training sessions but also integrate the new skills into their daily lives. However, the extent to which the social context influences the ability to use and benefit from this training is not yet fully understood. This study assessed social support and hindrance from significant others in individuals with hip or knee osteoarthritis (OA) and associated pain (N = 55). Participants completed an 8-session, internet-based PCST program as part of a randomized controlled trial using a measure developed for this study of social support and hindrance for intervention tasks. Our findings revealed that participants expected more support than they received (p < .001) and that lower pre-intervention expectations of hindrance correlated with less hindrance received (p = .047). Hierarchical regression models showed that expected and received support and hindrance were not associated with regular skill use, although having a college education or higher was associated with this outcome (β = .50, p = .001). Expected and received support and hindrance did not account for a significant proportion of the variation in changes in pain intensity or pain-related interference with functioning. In contrast, received support was associated with greater change in self-efficacy for pain management, controlling for other variables in the model (β = .40, p = .01), underscoring a unique role for received support in relation to improvements in confidence for managing OA pain.