The authors conducted a meta-analysis to examine the relations of benefit finding to psychological and physical health as well as to a specific set of demographic, stressor, personality, and coping correlates. Results from 87 cross-sectional studies reported in 77 articles showed that benefit finding was related to less depression and more positive well-being but also more intrusive and avoidant thoughts about the stressor. Benefit finding was unrelated to anxiety, global distress, quality of life, and subjective reports of physical health. Moderator analyses showed that relations of benefit finding to outcomes were affected by the amount of time that had passed since stressor onset, the benefit finding measured used, and the racial composition of the sample.
The correlates and consequences of benefit finding on quality of life were examined for 364 women (93% Caucasian, 6% African American, and 1% Hispanic) diagnosed with Stage I, II, and III breast cancer. Benefit finding and quality of life were measured 4 months postdiagnosis (Tl), 3 months after Tl (T2), and 6 months after T2 (T3). Women with lower socioeconomic status, minorities, and those with more severe disease perceived more benefits at baseline. Benefit finding was associated with more negative affect at baseline and also interacted with stage of disease, such that negative relations to quality of life across time were limited to those with more severe disease. Findings suggest there are qualifiers as to whether "finding something good in the bad" is good or bad.
In this study, we evaluated the validity of self-reported posttraumatic growth (PTG) by assessing the relation between perceived growth and actual growth from pre- to posttrauma. Undergraduate students completed measures tapping typical PTG domains at Time 1 and Time 2 (2 months later). We compared change in those measures with scores on the Posttraumatic Growth Inventory (PTGI; Tedeschi & Calhoun, 1996) for those participants who reported a traumatic event between Time 1 and Time 2 (n= 122). PTGI scores generally were unrelated to actual growth in PTG-related domains. Moreover, perceived growth was associated with increased distress from pre- to posttrauma, whereas actual growth was related to decreased distress, a pattern suggesting that perceived and actual growth reflect different processes. Finally, perceived (but not actual) growth was related to positive reinterpretation coping. Thus, the PTGI, and perhaps other retrospective measures, does not appear to measure actual pre- to posttrauma change.
This multisite study assessed the prevalence of exposure to traumatic events and associated symptoms among undergraduate students (N ϭ 1,528) using online surveys. Most students (85%) reported having experienced a traumatic event in their lifetime (Time 1) and 21% reported experiencing an event over a 2-month period during college (Time 2). The most common event reported at both time points was the unexpected death of a loved one. Lifetime exposures to family violence, unwanted sexual attention, and sexual assault were associated with higher current distress levels. When nominated as a worst event, sexual assault was associated with the most posttraumatic stress disorder symptoms. Events that caused intense fear, helplessness, or horror and those that were intentionally caused were associated with higher distress levels. Total number of lifetime traumas consistently had the highest associations with distress levels. Implications for counseling psychology practice, training, and research are discussed.
Although a number of measures have been developed to assess parent-child attachments, validity data on middle-childhood measures are lacking. The present study tested attachment-based measures of parent-child relationships designed for the later middle-childhood years (9-12 years of age). Self-reports from children assessed perceptions of security and avoidant and preoccupied coping. Some children also completed a projective interview assessing attachment state of mind. Mothers and fathers reported their willingness to serve as an attachment figure and were rated for responsiveness. Data were collected from a cross-sectional sample of 3rd and 6th graders and their parents. A 2-year follow-up on the younger sample provided data on the stability of the measures. There were modest associations across the different measures and moderate to high stability. The attachment-based measures were also related to teacher ratings of children's school adaptation.
Although a link between attachment and peer relationships has been established, the mechanisms that account for this link have not been identified. The 1st goal of this study was to test emotion regulation as a mediator of this link in middle childhood. The 2nd goal was to examine how different aspects of emotion regulation relate to peer competence. Fifth graders completed self-report and semiprojective measures to index mother-child attachment, mothers reported on children's emotionality and coping strategies, and teachers reported on children's peer competence. Constructive coping was related to both attachment and peer competence, and mediated the association between attachment and peer competence, suggesting that emotion regulation is one of the mechanisms accounting for attachment-peer links. Constructive coping was more strongly associated with peer competence for children high on negative emotionality than for children low on negative emotionality. According to attachment theory, the quality of parent-child attachments has implications for the nature of children's interactions and relationships with people outside the family, including peers (Bowlby, 1973; Sroufe & Fleeson, 1986). Numerous studies have confirmed a link between parent-child attachment and the quality of peer relationships. Attachment security in mother-child relationships (and, in some studies, father-child relationships) has been related to traitlike patterns of behavior around peers such as tendencies to be aggressive or sociable
Two studies addressed the normative aspects of attachments to mothers and fathers in middle childhood. Using both cross-sectional and longitudinal comparisons, we tested the hypothesis that children show no changes in perceptions of availability of attachment figures across the later middle childhood years, but do utilize attachment figures less at older ages. The first study included a cross-sectional comparison of third and sixth graders, and the second study was a follow-up on the third graders when they were in fifth grade. Both studies suggested a decline in utilization, but not in perceptions of availability of attachment figures within the later middle childhood years. Study 1 also demonstrated that children turn to parents to meet attachment needs, and peers to meet companionship needs. Study 2 examined individual differences in attachment by exploring how changes in attachment to mothers from third to fifth grade were related to children's social adjustment at fifth grade. Increases in perceptions of availability forecast better emotional and behavioral regulation at fifth grade. Changes in utilization of attachment figures showed both linear and nonlinear relations to regulation. Bowlby's (1982Bowlby's ( , 1979 theory of attachment has provided one framework for conceptualizing the nature and significance of parent-child bonds. Bowlby's theory is broad in scope, addressing both normative patterns of change as well as the precursors to and sequelae of qualitative differences in attachment. To date, most of the research on attachment has been focused on individual differences and, consequently, less is known about normative changes in attachment, particularly beyond infancy.The main goal of the present studies was to examine whether there are changes in children's perceptions of their utilization of attachment figures in the later middle childhood years. In addition, Study 1 examined whether children at this age direct attachment behavior to parents or to peers, and Study 2 examined how changes in attachment are related to children's later social and emotional development.
Women with breast cancer are one of the largest groups of cancer survivors. This research examined whether breast cancer has a long-term impact on quality of life (QOL) by comparing 5-year disease-free survivors to age-matched controls and by comparing women who sustained a recurrence to disease-free survivors. Controls were recruited using the neighborhood control methodology. QOL (physical, emotional, social, and spiritual) was assessed during in-person interviews. There were no differences between disease-free survivors (n = 267) and controls (n = 187) on many indicators of QOL. However, survivors reported more difficulties with physical functioning, more physical symptoms, and more faith than did controls (all ps < 0.05). Compared to disease-free survivors, survivors with a recurrence (n = 37) had a worse QOL on most indices, less positive affect, more general fatigue, and more intrusive and avoidant thoughts (all ps < 0.05). There were no differences between the two groups of survivors on indices of marriage, work experiences, or spirituality. These findings suggest that the QOL of long-term survivors who remain disease-free is comparable to that of women their age with the exception of physical functioning. Women who sustain a recurrence suffer an impaired QOL in some, but not all, domains.
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