The association between daily stress outside and inside of the relationship and marital functioning in the form of communication in conflict situations and marital quality was examined. We hypothesized that relationship stress mediates the association between external stress and marital functioning at the individual level, and that the association between relationship stress and marital quality is partially mediated by communication at the dyadic level. Using the Actor-Partner Interdependence and Common Fate Model, the results of 345 couples supported our hypotheses and revealed that a person's relationship stress is more strongly related with one's own external stress than with the partner's external stress. The findings indicate that both low relationship stress and a high level of positive communication are important in relationships.

This review summarizes the effectiveness of Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), Mindful Self-Compassion (MSC), and Acceptance and Commitment Therapy (ACT) to foster selfcare and reduce stress in mental health professionals. Twenty-four quantitative articles from PsycInfo and PubMed were identified that focused on mindfulness, selfcompassion, psychological flexibility, stress, burnout, or psychological well-being. All MBSR and MBCT studies lacked active control conditions, but some of the ACT studies and one MSC study included an active control. Most studies support evidence that all training programs tend to improve mindfulness and some also self-compassion. In addition, psychological flexibility was measured in the ACT studies and tends to improve over time. Further, MBSR, MSC, and ACT tend to reduce stress or burnout. The results were less supportive for psychological well-being. The value of the various training adaptations as well as directions for future research are discussed.

Data from groups often have a multimember multigroup (MMMG) structure. Examples are two-parent families with a female or male child (three members, two groups), two same-gender and opposite-gender peers of different status (two members, four groups), or gay, lesbian, and heterosexual couples (two members, three groups). To analyze such data, a framework called MMMG actor-partner interdependence model (MMMG APIM) is presented considering group composition. Three models are discussed in detail: the three-member two-group APIM, the two-member four-group APIM, and the two-member three-group APIM. Structural equation modeling and cross-sectional and longitudinal data are used to illustrate the approach. To ease the interpretation of APIM findings, a proposal of a general classification scheme is made.

Theories of anxiety disorders and phobias have ascribed a critical role to avoidance behavior in explaining the persistence of fear and anxiety, but knowledge about the role of avoidance behavior in the maintenance of anxiety in social anxiety disorder relative to specific phobia is lacking. This study examined the extent to which avoidance behavior moderates the relationship between general anxiety at baseline and 18 months later in women with a diagnosed social anxiety disorder (n = 91) and women with a diagnosed specific phobia (n = 130) at baseline. Circumscribed avoidance of social and specific situations were clinician-rated using the Anxiety Disorders Interview Schedule-Lifetime (ADIS-IV-L), and general anxiety was measured using the Beck Anxiety Inventory (BAI). Moderated regression analyses revealed that (a) general anxiety at baseline predicted general anxiety at follow-up in both women with a specific phobia and women with a social anxiety disorder and (b) avoidance behavior moderated this relationship in women with a specific phobia but not in women with a social anxiety disorder. Specifically, high avoidance behavior was found to amplify the effect between general anxiety at baseline and follow-up in specific phobia. Reasons for the absence of a similar moderating effect of avoidance behavior within social anxiety disorder are discussed.

These results suggest that health anxiety, as well as history of physical diseases, may be specific vulnerability factors for the onset of PDA relative to social phobia. Whereas fear of bodily sensations was not found to be a risk factor for the onset of panic disorder/agoraphobia, it was a specific marker of existing PDA relative to social phobia.