Biomedical subjects

Mark A Whisman

Publications and source records attributed to Mark A Whisman.

12 recordsLinked to original sources

PubMed2006

Neuroticism as a common feature of the depressive and anxiety disorders: a test of the revised integrative hierarchical model in a national sample.

The revised integrative hierarchical model of depression and anxiety (S. Mineka, D. Watson, & L. A. Clark, 1998) proposes that high levels of neuroticism are shared between the depressive and anxiety disorders. This perspective was evaluated with data from the National Comorbidity Survey (N = 5,847), a population-based community sample. Analyses were based on both a broadband (i.e., diagnostic class) and a narrowband (i.e., specific disorder) approach. Results supported the model insofar as high neuroticism was shared across the depressive and anxiety disorders and was particularly elevated in people with comorbid depression and anxiety. Results are discussed in terms of their implications for understanding the association between personality and the depressive and anxiety disorders in a community sample and for the revised integrative hierarchical perspective.

Adolescent↗

PubMed2006

Marital discord and well-being in older adults: is the association confounded by personality?

The associations between marital discord and multiple measures of well-being (depression, anxiety, life satisfaction, and self-esteem) were evaluated in a population-based sample of 416 couples in which the husband was 65 years or older. Results indicated that greater marital discord was associated with greater depression and lower life satisfaction and self-esteem. Furthermore, the associations between marital discord and well-being remained significant when statistically controlling for the rival explanation of the Big Five personality traits. Finally, there was little evidence for gender differences in the magnitude of the associations between marital discord and well-being. Findings suggest that marital discord is an important correlate of multiple measures of well-being in older individuals and that this association is not confounded by the Big Five personality traits.

Adaptation, Psychological↗

PubMed2006

Longitudinal association between marital dissatisfaction and alcohol use disorders in a community sample.

The prospective association between marital dissatisfaction and alcohol use disorders (abuse and/or dependence) was evaluated in a randomly selected community sample. Married individuals (N = 1,675) from the New Haven Epidemiologic Catchment Area project who did not have a current alcohol use disorder at baseline were followed prospectively for 12 months. Results indicated that baseline marital dissatisfaction was significantly associated with alcohol use disorder diagnosis during follow-up, with dissatisfied spouses being 3.7 times more likely than satisfied spouses to have a diagnosis of current alcohol use disorder at follow-up. The longitudinal association between baseline marital dissatisfaction and current alcohol use disorder diagnosis at follow-up remained significant when controlling for baseline demographic variables and history of alcohol use disorders.

Adult↗

PubMed2006

Moderators of the association between relationship discord and major depression in a national population-based sample.

Although there is a well-documented association between relationship discord and depression, many individuals experience either discord or depression without experiencing the other. To understand this phenomenon, the authors evaluated moderators of the association between relationship discord and major depression among married or cohabiting individuals in the National Comorbidity Survey (N = 2,538; R. C. Kessler et al., 1994). Potential moderators included demographics, personality characteristics, parental depression, and childhood loss. Only one significant moderator was found: There was a stronger association between discord and depression for married people (vs. cohabiters). Among married individuals only, neuroticism also served as a moderator: Individuals higher in neuroticism showed a stronger association between discord and depression. In general, findings suggest that when a person or family presents with one problem (e.g., relationship discord), it is important to evaluate and potentially treat the other problem (e.g., depression) as well.

Adolescent↗

PubMed2006

Impairment and distress associated with relationship discord in a national sample of married or cohabiting adults.

The clinical importance of relationship discord was examined through evaluating the association between relationship discord and multiple measures of impairment and psychological distress in a population-based sample of married and cohabiting adults (N=2,677). In comparison to people that were not in discordant relationships, individuals in discordant relationships reported greater social role impairment with relatives and friends and greater work role impairment. They also reported higher levels of general distress and poorer perceived health and were more likely to report suicide ideation. With the exception of suicide ideation, the associations between relationship discord and impairment and psychological distress remained significant when controlling for current mood, anxiety, and substance use disorders, suggesting that relationship discord is incrementally related to impairment and psychological distress over and above the effects of psychiatric disorders.

Adult↗

PubMed2006

Current status and future directions in couple therapy.

Couple therapy research affirms that various approaches to couple treatment produce statistically and clinically significant improvement for a substantial proportion of couples in reducing overall relationship distress. Recent studies have extended these findings in indicating the effectiveness of couple-based interventions for a broad range of coexisting emotional, behavioral, or physical health problems in one or both partners. In contrast to these encouraging results, research also indicates that a sizeable percentage of couples fail to achieve significant gains from couple therapy or show significant deterioration afterward. Research on processes of change and predictors of treatment outcome in couple therapy provides preliminary evidence regarding factors potentially contributing to variable treatment response. The chapter concludes with 12 recommendations regarding future directions in couple therapy research and clinical training.

Anxiety Disorders↗

PubMed2005

Assessing relationship betrayals.

Relationship betrayals, such as sexual and emotional infidelity, are commonly encountered in the practice of psychotherapy, yet clinicians often report difficulties in assessing and treating them. In this article we offer suggestions for assessing relationship betrayals. We address the definition of relationship betrayals, methods of assessing relationship betrayals, when and whom to assess, confidentiality, and assessing related clinical concerns. We illustrate with case vignettes the assessment and treatment of betrayals in close relationships.

Confidentiality↗

PubMed2005

Designing, testing, and interpreting interactions and moderator effects in family research.

This article is a primer on issues in designing, testing, and interpreting interaction or moderator effects in research on family psychology. The first section focuses on procedures for testing and interpreting simple effects and interactions, as well as common errors in testing moderators (e.g., testing differences among subgroup correlations, omitting components of products, and using median splits). The second section, devoted to difficulties in detecting interactions, covers such topics as statistical power, measurement error, distribution of variables, and mathematical constraints of ordinal interactions. The third section, devoted to design issues, focuses on recommendations such as including reliable measures, enhancing statistical power, and oversampling extreme scores. The topics covered should aid understanding of existing moderator research as well as improve future research on interaction effects.

Behavioral Research↗

PubMed2004

Psychopathology and marital satisfaction: the importance of evaluating both partners.

Using path analysis and hierarchical linear modeling, the authors evaluated the associations between both partners' level of depression and anxiety, as measured by Minnesota Multiphasic Personality Inventory-2 (MMPI-2) content scales, and both partners' level of marital satisfaction among married couples (N = 774) that participated in the MMPI restandardization study. Results indicated that marital satisfaction was predicted by the person's own level of anxiety and depression (i.e., actor effects) and by his or her spouse's level of depression only (i.e., partner effects). Findings also indicated that (a) there were no significant gender differences in the magnitude of effects, (b) depression effects were significantly stronger than anxiety effects, (c) actor effects were significantly stronger than partner effects, and (d) there were interactions between actor and partner effects for depression only.

Adult↗

PubMed2004

Treating distressed couples with coexisting mental and physical disorders: directions for clinical training and practice.

Relationship difficulties frequently coexist with significant emotional, behavioral, and physical health problems in one or both partners. Moreover, couple therapists report individual emotional and behavioral disorders as among the most difficult problems that they encounter in clinical practice. In this article, we summarize empirical evidence regarding the association between relationship distress and the onset, course, and treatment of mental and physical health problems. Based on these findings, we propose five critical implications for clinical training and the practice of couple therapy.

Cognitive Behavioral Therapy↗

PubMed2003

Sociotropy and bulimic symptoms in clinical and nonclinical samples.

OBJECTIVE: The purpose of this study is to examine the relation between sociotropy and bulimic symptoms. Studies of interpersonal functioning among individuals with bulimia nervosa consistently reveal issues of social dependency, need for approval, and fear of rejection. These themes are conceptually related to sociotropy, a cognitive-personality factor that has been implicated in the development and maintenance of depression. Individuals high in sociotropy are keenly invested in attaining others' approval and avoiding social rejection. METHODS: The relationship between sociotropy and bulimic symptoms was examined in two samples of women: undergraduate women and community women seeking treatment at a private eating disorder facility. RESULTS: In both samples, sociotropy was significantly associated with bulimic symptoms beyond the shared relation with depressed mood. DISCUSSION: Findings are discussed in terms of the maintenance and treatment of bulimia nervosa.

Adolescent↗

PubMedDate not supplied

Sexual desire and relationship functioning: the effects of marital satisfaction and power.

The present study examined the association among marital satisfaction, marital power, and sexual desire in a sample of 60 community couples. We predicted that marital satisfaction would be positively correlated with sexual desire and that this association would be moderated by marital power, such that marital satisfaction would be more strongly correlated with sexual desire among individuals who perceive themselves as having less power in their relationship. Results indicated that marital satisfaction was significantly associated with sexual desire, but there was no evidence for the moderating effects of various forms of marital power.

Adult↗