Biomedical subjects

Jean-Philippe Laurenceau

Publications and source records attributed to Jean-Philippe Laurenceau.

11 recordsLinked to original sources

PubMed2006

Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders.

Participants were 30 adult outpatients diagnosed with avoidant personality disorder or obsessive-compulsive personality disorder who enrolled in an open trial of cognitive therapy for personality disorders. Treatment consisted of up to 52 weekly sessions. Symptom evaluations were conducted at intake, at Sessions 17 and 34, and at the last session. Alliance variables were patients' first alliance rating and "rupture-repair" episodes, which are disruptions in the therapeutic relationship that can provide corrective experiences and facilitate change. Stronger early alliances and rupture-repair episodes predicted more improvement in symptoms of personality disorder and depression. This work points to potentially important areas to target in treatment development for these personality disorders.

Adult↗

PubMed2006

Marital conflict, maternal and paternal parenting, and child adjustment: a test of mediation and moderation.

Parenting was examined as a mediator of associations between marital and child adjustment, and parent gender was examined as a moderator of associations among marital, parental, and child functioning in 226 families with a school-age child (146 boys). Parenting fully mediated associations between marital conflict and child internalizing and externalizing behaviors. Parent gender did not moderate associations when data from the full sample or families with girls only were evaluated. Parent gender did moderate associations when families with boys were evaluated, with the association between marital conflict and parenting stronger for fathers than mothers. A trend suggested fathers' parenting may be more strongly related to internalizing behavior and mothers' parenting may be more strongly related to externalizing behavior in boys.

Adult↗

PubMed2005

Perceived partner reactions to diagnosis and treatment of breast cancer: impact on psychosocial and psychosexual adjustment.

Two studies examined breast cancer patients' perceptions of their partners' reactions to their diagnosis and treatment as influences on 3 aspects of patients' well-being: psychosexual adjustment, emotional distress, and marital satisfaction. Study 1, cross-sectional, indicated that partner initiation of sex, frequency of sex, a positive 1st sexual experience after treatment, and especially perception of the partner's emotional involvement in the relationship, were relevant to these outcomes. Study 2, longitudinal, confirmed many of these findings in prospective tests across 1 year of recovery after surgery. Partner involvement prospectively predicted all 3 outcomes. Partner initiation of sex predicted greater marital satisfaction; partner adverse reaction to the scar predicted less marital satisfaction. Rated quality of the 1st sexual experience after treatment predicted less distress. The pattern suggests that women's impressions of their partners' emotional involvement after surgery for breast cancer forecast their adjustment in sexual, marital, and emotional arenas over the following year.

Adolescent↗

PubMed2005

Using diary methods to study marital and family processes.

Diary methods allow researchers to study marital and family processes within the context of daily life in a way that is not possible with more traditional methods. The authors review applications of diary designs in marital and family research and detail the types of research questions that can uniquely be asked of dyadic/family diary data. Technological developments for the use of electronic palm-top devices for implementing diary methods are also reviewed. Additionally, the authors discuss specific issues relevant to the analysis of diary data that come from dyads or families. Last, the authors raise unresolved issues and directions for future research in the use of diary methods for studying marital and family processes.

Behavioral Research↗

PubMed2005

The interpersonal process model of intimacy in marriage: a daily-diary and multilevel modeling approach.

This study used daily reports of interactions in marriage to examine predictions from the conceptualization of intimacy as the outcome of an interpersonal process. Both partners of 96 married couples completed daily diaries assessing self-disclosure, partner disclosure, perceived partner responsiveness, and intimacy on each of 42 consecutive days. Multivariate multilevel modeling revealed that self-disclosure and partner disclosure both significantly and uniquely contributed to the contemporaneous prediction of intimacy. Perceived partner responsiveness partially mediated the effects of self-disclosure and partner disclosure on intimacy. Global marital satisfaction, relationship intimacy, and demand-withdraw communication were related to daily levels of intimacy. Implications for the importance of perceived partner responsiveness in the intimacy process for married partners are discussed.

Adult↗

PubMed2005

Religiousness and the trajectory of self-rated health across adulthood.

This study evaluates the association of religiousness with the growth parameters characterizing changes in self-rated health during adulthood (ages 20-94 years). Even after controlling for health behaviors, social support/social activity, and four of the Big Five, women who were highly religious in 1940 had higher mean self-rated health throughout their lifespan, slower rates of linear decline, and less pronounced cascades than did less religious women. For men, the associations of religiousness with the growth parameters underlying self-rated health were negligible. Results indicate that the association of religiousness with women's self-rated health may persist after controlling for mundane mediators and that the association of religiousness and self-rated health is not an artifact of the association between religiousness and the Big Five.

Adult↗

PubMed2005

Two distinct emotional experiences in romantic relationships: effects of perceptions regarding approach of intimacy and avoidance of conflict.

This study examined how perceived position and velocity regarding approach and avoidance in romantic relationships relate to affective experiences. The authors hypothesized that perceived progress toward intimacy would predict positive affect and that perceived movement toward conflict would predict anxious affect. Ninety-two romantic couples recorded perceived levels of, and perceived changes in, both intimacy and conflict twice daily throughout 10 consecutive days using electronic palm-top devices. Multilevel modeling demonstrated that perceived increase in intimacy related to positive affect above and beyond perceptions of intimacy, conflict, and changes in conflict, for both male and female partners. Perceived increase in conflict related to anxious affect above and beyond perceptions of conflict, intimacy, and changes in intimacy, but only among male partners. Findings support a dual-process view of these feelings in romantic relationships and suggest that increases in positive feelings in close relationships depend on enhancing intimacy rather than on decreasing conflict.

Adult↗

PubMed2005

Avoidance and processing as predictors of symptom change and positive growth in an integrative therapy for depression.

Depression is a leading cause of disability worldwide and can worsen the course of a variety of medical illnesses. There is a clear need to develop more potent treatments for this debilitating disorder and prevent its return. We are developing a promising psychotherapy that integrates components of current, empirically supported therapies for depression and also teaches healthy lifestyle and emotion regulation habits to promote psychological health. In the 1st open trial, growth curve analyses revealed a significant linear decrease in symptoms of depression in a sample of 29 clients who completed the therapy. Participants wrote essays about their depression each week, and the content was analyzed using a new coding system of change processes. Hierarchical linear modeling (HLM) revealed that peak levels of processing in the essays were associated with more improvement in depression and with the expression of more hope and of both negative and positive views of the self, presumably as clients explored their depressive views of self. Peak levels of avoidance were associated with less improvement in depression and with more hopelessness and negative views of the self. These preliminary results suggest possible targets of change that can facilitate symptom reduction and perhaps also promote psychological health.

Affect↗

PubMed2004

Community-based prevention of marital dysfunction: multilevel modeling of a randomized effectiveness study.

This study is a cluster randomized controlled trial of the Prevention and Relationship Enhancement Program (PREP; H. J. Markman, S. M. Stanley, & S. L. Blumberg, 2001). Fifty-seven religious organizations (ROs), consisting of 217 newlywed couples, were randomly assigned to 1 of 3 intervention conditions: PREP delivered by university clinicians (U-PREP), PREP delivered by RO clergy (ROPREP), and naturally occurring (NO) marriage preparation. Self-reported relationship satisfaction, negative behavior, and positive behavior were assessed at preintervention, postintervention, and 1-year follow-up. Trajectories of relationship satisfaction showed no change over time and did not differ across conditions. Trajectories of negative behavior for RO-PREP wives showed significantly greater linear declines in comparison with NO trajectories. Trajectories of positive behavior for NO and U-PREP partners showed significant declines compared with RO-PREP trajectories. Effectiveness, transportability, and dissemination of marital distress prevention programs in community settings are discussed.

Adult↗

PubMed2004

Gender and the natural history of self-rated health: a 59-year longitudinal study.

Self-ratings of health are uniquely predictive of morbidity and mortality, and they encompass people's evaluations of many medical, psychological, and social conditions in their lives. However, the longitudinal trajectory of self-rated health has not been evaluated to date. In the present study, 59-year longitudinal multilevel analyses (1940-1999) of data from 1,411 men and women revealed that self-rated health was relatively stable until age 50 and then began to decrease in an accelerating fashion through the rest of the life course. Men had higher self-rated health throughout most of adulthood than did women but had steeper linear rates of decline. As a result, the gender difference in self-rated health disappeared by late adulthood.

Aged↗

PubMed2002

A longitudinal study of the hopelessness theory of depression: testing the diathesis-stress model within a differential reactivity and exposure framework.

A ten-week prospective longitudinal study was conducted to test the diathesis-stress component of the hopelessness theory and to test whether negative attributional style leads to an increased exposure to stressors. Participants completed initial measures of attributional style and depressive symptoms followed by weekly assessments of depressive symptoms and daily hassles. Consistent with the diathesis-stress hypothesis, Hierarchical Linear Modeling revealed that attributional style moderated the impact of daily hassles on depressive symptoms. Negative attributional style predicted greater depressive symptom reactivity in response to stress. The results also indicated that attributional style was not predictive of the number of subsequent daily hassles. Thus, the data were supportive of a differential reactivity to stress model, but not supportive of a differential exposure to stress model. Implications for understanding the mechanisms involved in the hopelessness theory are discussed.

Activities of Daily Living↗