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Biomedical subjects

R M Eisler

Publications and source records attributed to R M Eisler.

At least 19 recordsLinked to original sources
PubMed1992

Family/media approach to HIV prevention: results with a home-based, parent-teen video program.

We describe the first study with a home-based HIV prevention video program for parents and young teenagers. The objectives of the program are to inform parents and teenagers about the causes and prevention of HIV infection and other sexually transmitted diseases, to increase family problem-solving skills, and to increase teen problem-solving and assertiveness skills. The objectives pertain to the goals of increasing skills needed to help teenagers avoid or manage high-risk behaviors and situations. Forty-five families with at least one 12- to 14-year-old were randomly assigned to either experimental (receive video program) or control (no video) conditions in a pretest-posttest design. After 6 months (Follow-Up 1), the experimental and control families were reassessed. The control families next received the video program, and the control families were assessed again (Follow-Up 2). The results indicate increases in parent and teen knowledge and skills only with video viewing. Approaches to improving the video program, particularly with teenagers, are discussed.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Development of the feminine gender role stress scale. A cognitive-behavioral measure of stress, appraisal, and coping for women.

The cognitive appraisal of threats and challenges to sterotypical feminine gender role coping behavior was defined as feminine gender role stress (FGRS). This article describes the development of a self-report measure of FGRS. Situations perceived as more stressful for women than for men wer categorized by factor analysis, yielding the following constellation of maladaptive stress responses particularly salient for women: (a) fear of unemotional relationships, (b) fear of being unattractive, (c) fear of victimization, (d) fear of behaving assertively, and (e) fear of not being nurturant. Women demonstrated significantly higher FGRS appraisal scores than men, and scores among women showed good 2-week test-retest reliability. The tendency to appraise situations on the FGRS scale as stressful was associated with the tendency to consider daily hassles stressful but was not related to self-perceived femininity in women. It was predicted that women who tend to exhibit the FGRS appraisal style would have more difficulty in coping with stressors related to depression. Supporting this hypothesis, women with higher FGRS scores reported greater depression than those with lower scores. The assessment of FGRS appraisal and coping style in women provides useful information for devising treatment strategies to improve women's health through promotion of adaptive coping.

Adaptation, Psychological↗
PubMed1991

Sex differences in cardiovascular reactivity: effects of the gender relevance of the stressor.

Suggests that sex differences in cardiovascular reactivity (CVR) in past research are a function of differences in cognitive appraisal of stressors as masculine or feminine tasks. In the present study, we examined the role of the gender relevance of the stressor as a mediator of sex differences in CVR. The CVR of male and female college students (n = 95) to the cold pressor test (CPT) was compared under masculine and gender-neutral instructions during an anticipation phase, a stressor phase, and a recovery phase. Men were expected to show greater CVR than women to the masculine CPT but not to the gender-neutral CPT. Results supported this prediction for systolic blood pressure reactivity and heart rate reactivity but not for diastolic blood pressure reactivity. The potential influence of sex differences in appraisal of situations on CVR and coronary heart disease is discussed.

Adolescent↗
PubMed1991

Psychosocial and physiological correlates of male gender role stress among employed adults.

Previous research has identified male gender role stress (MGRS) as a construct that leads men, as a function of traditional socialization processes, to appraise certain situations in ways that produce psychosocial and physiological distress. Because the initial research was based on college undergraduates, the current study explored the relationship of MGRS to psychosocial and physiological risk factors for cardiovascular disease among employed adults. As predicted, men obtained significantly higher scores than women on a measure, the MGRS Scale, developed to assess this construct. Women with elevated MGRS Scale scores, however, experienced undesirable outcomes much the same as their male counterparts. Specifically, MGRS Scale scores were significantly associated with Type A behavior, hostility, personal loss, life dissatisfaction, and elevated systolic and diastolic blood pressure. The authors discuss possible environmental contributors to the development and maintenance of MGRS, including organizational factors associated with male-dominated work environments.

Adolescent↗
PubMed1990

Cardiovascular reactivity to stress in men. Effects of masculine gender role stress appraisal and masculine performance challenge.

Previous research has shown that excessive cardiovascular reactivity may be important in the development of coronary heart disease. The present study examined the role of masculine cognitive appraisal of stress as a mediator of cardiovascular reactivity in men. The reactivity of men who differed on a measure of individual differences in men's cognitive appraisal of masculine gender role stress (MGRS) were compared on the cold-pressor test under conditions of high and low masculine performance challenge. Under conditions of minimal challenge, it was predicted that high- and low-MGRS men would not differ on reactivity. Under high challenge, high-MGRS men were expected to show greater reactivity than were low-MGRS men. Analysis of results for systolic blood pressure confirmed the major predictions. High-MGRS men showed greater systolic blood pressure reactivity than did low-MGRS men under high but not low masculine challenge. The implications of MGRS appraisal for men's health are discussed.

Achievement↗
PubMed1988

Covariation of mood and blood pressure during daily activities.

The relationship between blood pressure (BP) and self-reported mood states was examined for 49 subjects in their natural environment. Subjects performed their usual activities during a 2-day period and recorded their BP using a semiautomated BP monitor at predetermined intervals. Adjective checklists describing mood states and perceptions of the environment as stressful were completed concurrent with each BP measurement. A correlational analysis of average BP and average mood state ratings was performed along with a paired t-test analysis of mood states associated with high versus low BP. The results show that holding anger in correlated positively with average SBP and negatively with average HR. Neither anger arousal nor the expression of anger arousal was able to distinguish between high and low BP readings. The Type A adjective cluster discriminated between high and low SBP as well as between high and low HR readings. The cluster of negative moods also discriminated between high and low SBP. Perceptions of the environment as hostile and demanding discriminated high versus low SBP and high versus low DBP. The discussion focuses upon the value of repeated-measures designs in examining mood/BP relationships as individuals ambulate in their natural environment.

Activities of Daily Living↗
PubMed1988

Masculine gender-role stress: predictor of anger, anxiety, and health-risk behaviors.

We suggest that male gender-role identification affects whether specific situations are appraised as stressful. A questionnaire was developed to measure masculine gender-role stress (MGRS). Correlational data and multiple regression were used to validate the MGRS scale as a measure of gender-related stress in men, and compare its predictive utility with Spence's commonly-used measure of masculinity. Findings indicate that stress appraisal is gender related, that is, men experience more masculine-role stress than women. Further, the construct of MGRS was distinguished from the concept of masculinity. Finally, MGRS predicted increased anger, increased anxiety, and poorer health behaviors.

Adolescent↗
PubMed1987

Type A behavior, achievement striving, and a dysfunctional self-evaluation system.

We conducted two experiments to examine the relations among characteristics of how Type A individuals strive for achievement, including goal achievement, self-evaluation, and psychological distress. We evaluated these relations as subjects performed two sequential general information tests. Experiment 1 indicated that achievement striving associated with the Type A behavior pattern is characterized by a tendency to set personal goals in excess of performance and is associated with a low probability of achieving goals. The results of Experiment 2 indicated that the achievement strategy Type A individuals adopted was associated with low self-evaluation of their actual performance. Furthermore, a pre- and postexperiment self-report questionnaire of psychological state suggested that failure to achieve personal goals was related to increased psychological distress. The results of our study suggest that unrealistically high performance standards and failure to achieve personal goals may be a mechanism that triggers the negative psychological states and performance dissatisfaction associated with the Type A behavior pattern. Our study also supports theoretical conceptualizations that excessive achievement striving can act as a potential motivational mechanism but can also have potential pathogenic consequences through misregulation of achievement expectancy and evaluation.

Achievement↗
PubMed1976

Social-skills training to modify abusive verbal outbursts in adults.

Social-skills training was used to modify abusive verbal outbursts displayed by two adult psychiatric patients. Five target behaviors--looking, irrelevant comments, hostile comments, inappropriate requests, and appropriate requests were monitored during role-played situations. Social-skills training, consisting of behavior rehearsal with modelling, focused instructions, and feedback, was introduced in a multiple-baseline design across individuals. Training improved all target behaviors. The improved behavior generalized to: (1) novel scenes role-played with the original respondent, (2) training and novel scenes role-played with a different respondent, and (3) interpersonal situations on the hospital ward.

Adult↗