There is mounting evidence that telemental health is an effective delivery method for treating a variety of mental, emotional, behavioral, and relational health problems. While many of the therapeutic skills leading to the effectiveness of face-to-face treatments are transferable, the effectiveness of telemental health requires unique skills. The purpose of this phenomenological study was to determine the experience of learning how to use videoconferencing to deliver relationally focused mental health care. Participants included 10 graduates of a COAMFTE-accredited master's degree program emphasizing training in telemental health. Each student had practicum placements that required videoconferencing to deliver relationally based psychotherapy. Analysis of interview data revealed (a) personal reservations about distance delivery; (b) the importance of scaffolding student learning through curriculum, supervision, and mental health-care delivery protocols; (c) the technological barriers associated with this delivery method; and (d) overcoming technological barriers through intentionality.
Previous studies have found associations between the individual discrepancy of desired sexual frequency and actual sexual frequency and relational outcomes among premarital couples. The present study extended this research by using a sample of 1,054 married couples to explore how actor and partner individual sexual desire discrepancy (SDD) scores were associated with relationship satisfaction, stability, communication, and conflict during marriage. All participants took an online survey which assessed both couple sexual dynamics and relationship outcomes. Findings suggested that higher actor individual SDD was generally associated with negative relational outcomes, including lower reported relationship satisfaction, stability, and more reported couple conflict. These effects were found after controlling for background factors, baseline sexual frequency and desire, and couple desire discrepancies. Some partner effects were also found and were generally in the same direction. Marital length did not moderate the effects found although gender moderated associations between individual SDD and reported couple communication. Negative associations between individual SDD and communication were particularly strong when the husband reported high discrepancies between desired and actual sexual frequency. Results suggested that higher individual sexual desire discrepancies among married individuals may undermine relationship well-being. Applications of these findings to a clinical setting are also discussed.
Using data from an ongoing longitudinal study, we examined the impact of the COVID‐19 stay‐at‐home orders on a racially diverse population of unstably housed domestic violence (DV) survivors over time. Specifically, we examined survivors' safety, housing stability, and mental health before, during, and after the onset of COVID‐19, and how demographic, social, and familial factors attenuated or exacerbated the effect of the stay‐at‐home orders. Approximately 300 participants were initially interviewed after they sought services from a DV agency, and then again, every 6 months over 2 years. COVID‐19 stay‐at‐home orders occurred midway through the completion of this multi‐year study. Longitudinal mixed effects models were estimated to examine the impact of COVID‐19 on the safety, housing stability, and mental health of survivors over time. We also examined models with several time‐varying (e.g., employment, income, social support, and number of children) and time‐invariant (baseline outcome scores, racial/ethnic identity, education, and disability status) control variables. Results revealed that safety, housing stability and mental health were improving for study participants before the onset of the COVID‐19 pandemic but plateaued after the stay‐at‐home orders were issued. Experiences of abuse, housing instability, and mental health symptomatology did not worsen as a result of the COVID‐19 stay‐at‐home orders. Notably, social support and housing services emerged as important predictors of outcomes, such that participants who received housing‐related services and greater social support reported less abuse, less housing instability, and lower mental health distress. COVID‐19 temporarily disrupted the positive trajectory unstably housed DV survivors were experiencing in regard to safety, housing stability and mental health. These findings provide critical insight into the importance of service access during and after global catastrophes. Additional resources and support may be helpful in assisting survivors to return to their pre‐pandemic recovery and growth trajectories.
Objective Members of the U.S. military are at a high suicide risk. While studies have examined predictors of suicide in the U.S. military, more studies are needed which examine protective factors for suicide. Informed by the interpersonal theory of suicide, this study examined the strength of the intimate relationship and its role as a buffer of suicidality in National Guard service members. Method A total of 712 National Guard residing in a Midwestern state, who had all recently returned home from a deployment, took part in this study and completed surveys at 6 and 12 months postdeployment. They were assessed on suicide risk, mental health (depression, post‐traumatic stress disorder, anxiety), and relationship satisfaction. Results Lower relationship satisfaction and more depressive symptoms at the 6‐month assessment were significantly related to greater suicide risk at 12 months. Each interaction between couple satisfaction and three mental health variables (PTSD, depression, and anxiety) at the 6‐month assessment was significantly associated with suicide risk at 12 months. Conclusions The strength of the intimate relationship serves as a buffer for suicide in National Guard service members who have PTSD, anxiety, or depression. Interventions that strengthen these intimate relationships could reduce suicide in service members.
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