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Infertility is physically, emotionally, psychologically, financially, and socially challenging. For people in larger bodies, infertility challenges are intensified as providers often blame them for their inability to conceive or carry a pregnancy to term. Using a memorable messages framework, we examined messages that fat women (N = 69) with an infertility diagnosis received while trying to conceive, pregnant, and in the postpartum period. Using reflexive thematic analysis, we found three core messages that fat women received from providers: (a) body size is a primary reason for infertility, (b) weight loss will lead to a successful pregnancy, and (c) denial of care. [ABSTRACT FROM AUTHOR]

Weight bias is prevalent for people in large bodies who are trying to conceive, pregnant, or postpartum. Using the theory of memorable messages as a framework, we explored the sources, valence, and content of messages that fat individuals (N = 237) recalled about their bodies before pregnancy through the postpartum stage. The most common source of memorable messages was healthcare providers, and most (77.2%) messages were negatively valenced. Thematic analysis revealed four overarching themes (fat mothers are bad mothers, denial of competent treatment, weight-normative commentary on fat bodies, and weight-inclusive counter-narratives). Our findings illuminate the significance of patient-practitioner communication across the pregnancy trajectory and highlight how counter-narratives can disrupt negative messages about fat pregnancy. [ABSTRACT FROM AUTHOR]

Assessing resilience among alternative sexuality (alt-sex; e.g., kink, polyamory) community members is imperative as alt-sex individuals often face discrimination and possess intersecting marginalized identities. The Brief Resilience Scale (BRS) has extensive psychometric support; however, prior research indicates both a one- and two-factor (i.e., succumbing and resilience) structure. Further, the psychometric properties of the BRS have not been examined among alt-sex community members. As such, the current study examined the BRS factor structure among alt-sex individuals and measurement invariance across demographic groups (i.e., sexual orientation, gender identity, and sexual assault history). Confirmatory factor analyses and multi-groups invariance analyses were conducted. The two-factor BRS model demonstrated better fit to the data. Model fit did not differ by sexual orientation or gender identity. Measurement invariance was observed by lifetime sexual assault history, with higher factor loadings on succumbing items among alt-sex community members with a lifetime history of sexual assault. Our findings support use of the BRS to measure resilience among alt-sex individuals. Succumbing, or weakened resilience, is a salient factor for alt-sex community members who are sexual assault survivors, warranting further attention. [ABSTRACT FROM AUTHOR]

Validating communication is a relational variable tied to physical functioning and emotional well-being and helps couples navigate the stress of chronic illness. In this study, we evaluated relational uncertainty, illness severity, and depressive symptoms as correlates of validating communication, and then considered associations between validating communication and both resilience and relational load. A cross-sectional study of romantic dyads coping with one or more chronic illnesses revealed support for hypothesized associations, illustrating associations among relational perceptions, illness characteristics, mental health, communication, and global relationship qualities. [ABSTRACT FROM AUTHOR]

Sexual health is critical to overall well-being, yet it is challenging and uncomfortable to discuss. Individuals frequently encounter uncertainty about their sexual health as they experience bodily changes, navigate romantic or sexual relationships, and explore their identities. In this study, we called on uncertainty management theory to guide an investigation of sexual health uncertainty. Specifically, we asked how people use social support to manage their sexual health uncertainty in online forums. Grounded theory analyses revealed that negative emotions, avoidance, and pursuing medical care prompted people to seek emotional and informational support online, and support served three functions: integrating information, assessing risk, and strategizing communication. The results point to stigma as a driving force in sexual health discussions online and imply practical recommendations for sexual education, communication about sexual topics, and patient-provider relationships. [ABSTRACT FROM AUTHOR]

Chronic illness is both prevalent in U.S. adults and influential in people's lives and relationships. In this study, we integrate relational turbulence theory with the theory of resilience and relational load to consider associations between perceptions of the relationship, relational maintenance, and two global relationship qualities: resilience and relational load. Results from a cross-sectional online survey of 100 dyads in which at least one partner reported a chronic condition suggest relational turbulence was associated with relational maintenance, which, in turn, was associated with relational load and resilience. Relational maintenance emerged as a mediator in the association between relational turbulence and resilience and relational load in several tests. Communal orientation was positively associated with relational maintenance and indirectly related to resilience and relational load in certain circumstances. We discuss these findings for each theory individually, the value of considering these theories concurrently, and pragmatic advice for couples navigating chronic illness. [ABSTRACT FROM AUTHOR]

Deployment requires considerable preparation for military families and changes to these plans may create notable stress. The current study leveraged data from a sample of military couples who experienced the cancellation of an overseas deployment to learn more about their experiences as they adjusted to this change. Guided by family stress and anticipatory stress perspectives, we analyzed qualitative data from 28 service members and their significant others (i.e., spouses or cohabitating partners) to understand their overall reactions to the deployment cancellation. We identified three overall reactions (positive, negative, and ambivalent) that were based on participants' appraisals of—and preparations for—deployment, as well as ambiguity about family roles and relationships. Further, participants across groups experienced uncertainty about whether or not the deployment would occur, and altered timelines for other life events. Together, our findings highlight the post‐cancellation period as a significant time of stress and transition for military families. However, our findings also signify the need to help all military families cope with uncertainty about when or if deployments will occur given that the military's priorities are often in flux. We therefore describe coping efforts that may be particularly adaptive for families to engage in as they prepare for uncertain, anticipated stressors. [ABSTRACT FROM AUTHOR]

Type 2 diabetes mellitus is both prevalent and profoundly impactful, and how people cope with the illness is related to a variety of individual and relational outcomes. The goal of this investigation was to test the logic of the recently extended Theoretical Model of Communal Coping (TMCC), a communication theory that argues that race (in this study, Black and White) moderates the relationship between communal coping and disease-related outcomes (i.e., glucose, diet, and exercise self-care). In general, survey data from 348 participants (n = 224 Black participants, n = 124 White participants) revealed that although communal coping was directly and positively related to self-care, the relationship between communal coping and self-care was stronger for Black participants than White participants. The results of the study have implications for the TMCC and for researchers, families managing type 2 diabetes, and healthcare practitioners. [ABSTRACT FROM AUTHOR]

Uncertainty is a prevalent and influential experience for people managing chronic illness. People living with diabetes experience individual, relational, and illness-related uncertainty across the illness trajectory, yet scholars know little about the lived experience of diabetes uncertainty. To fill this gap, our study examined interpersonal exchanges in 22 US-based online forums geared toward people with diabetes. Our results revealed four sources of diabetes uncertainty: using tools, experiencing complications, negotiating multiple health issues, and affording care. This uncertainty prompted two mutually influential responses: worrying/fearing and controlling diabetes. Support-seeking emerged as a primary communicative goal for people with diabetes, as they managed uncertainty through navigating finances, choosing tools to manage the disease, establishing norms, and crowdsourcing care. The results have pragmatic value for informing diabetes self-management education. [ABSTRACT FROM AUTHOR]

The consequences of a brain injury can introduce ripple effects within a family for years after the initial event. In this study, we focused on the experiences of couples negotiating their relationship after stroke. We specifically concentrated on the changes to couples' interdependence and the relational ramifications of those changes. Interview data from 41 participants (including 20 people who have had a stroke and 21 caregiving partners) suggest that as individuals noticed changes in themselves and their partner, they also noted significant changes within their relationship. As couples encountered their new relational dynamic, they had to manage various struggles including how to provide assistance, how to communicate effectively, and how to reframe their situation. Overall, couples relayed a trajectory of post-stroke life that involved a level of mutual influence that did not seem to exist prior to stroke. [ABSTRACT FROM AUTHOR]

How individuals in romantic partnerships cope with health challenges either separately or together has a profound impact on their individual and relational well-being. The goal of this investigation was to test the logic of the recently extended Theoretical Model of Communal Coping (TMCC) by assessing how the two dimensions of communal coping, shared appraisal and joint action, are related to individual and relational well-being. Dyadic survey data from 100 romantic couples were analyzed using the Actor-Partner Interdependence Model. Results support the TMCC's assertion that shared appraisal and joint action are distinct facets of communal coping and extend the model by highlighting how different partners' experiences with communal coping may be. [ABSTRACT FROM AUTHOR]

Objective: We evaluated two fundamental communication processes, self‐disclosure and destructive conflict management strategies, as mediators of the link between depressive symptoms and relationship satisfaction among married U.S. soldiers. Background: Identifying the communication behaviors underlying why people with depressive symptoms are less satisfied with their romantic relationship is a high priority for research, and pinpointing relevant mediators is especially important among military personnel who face particular job stressors and relationship challenges. Methods: We analyzed cross‐sectional self‐report data from a representative sample of 4,196 married U.S. soldiers who participated in the all‐Army component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Results: Mediation was apparent such that people's depressive symptoms had indirect associations with their relationship satisfaction through both their self‐disclosure and their reports of their partner's destructive conflict management strategies. In contrast, mediation was not evident for their reports of their own destructive conflict management strategies. Conclusion: Less self‐disclosure and more destructive conflict management strategies by a partner may be reasons why soldiers experiencing depressive symptoms are less satisfied with their romantic relationship. Implications: Communication skills training for self‐disclosure and conflict management may help break the link between depressive symptoms and relationship dissatisfaction. [ABSTRACT FROM AUTHOR]

Relational uncertainty is both prominent and pivotal during the transition from deployment to reintegration. Most prior research has considered the outcomes rather than the origins of relational uncertainty, hampering the development of interventions for military couples. We theorize about two predictors of relational uncertainty during the post-deployment transition: suspicion about a partner's deception and trust. Results of an 8-wave longitudinal study involving 287 U.S. military couples (N = 4,147 observations) revealed that relational uncertainty increased over the transition for both returning service members and at-home partners. Suspicion about a partner's deception, and particularly trust, predicted the relational uncertainty of military couples at homecoming and over time. These findings advance knowledge about the roots of relational uncertainty and suggest ways to assist military couples upon reunion. [ABSTRACT FROM AUTHOR]

Most of the research on communal coping (CC) has assumed and found that it can enhance health, as well as strengthen entire communities, under stressful circumstances. Nevertheless, recent research has questioned the seemingly inherent benefits of CC. This article rectifies these discrepancies in the literature in a new, extended theoretical model of CC that crosses interpersonal, family, health, organizational, intercultural, and small group communication, as well as psychology and public health. In so doing, we (a) provide a deeper understanding of the functionality of CC for resilience and thriving across subfields within Communication and other disciplines, (b) clarify the concept of CC and describe how it is constructed and revealed through communication, (c) address problematic ways researchers measure CC, and (d) demonstrate the processual nature of it. Future directions are suggested. [ABSTRACT FROM AUTHOR]

The impact of type 2 diabetes (T2D) is far reaching, influencing the lives of both patients and their families. The communal coping model argues that people cope with stress in the context of their relationships, including family relationships, and that coping responses are both cognitive and behavioral in nature. According to the model, communal coping exists along two continuous dimensions: (a) appraisal, which assesses whether people's cognitions are individual or shared, and (b) action, which pertains to whether people engage in sole or joint behavior to diminish the negative effects of their stress. Theoretically, the dimensions of communal coping cross to create four distinct types of coping. However, this typology has not been statistically tested in existing research, so one goal of this study was to test the typology. A second goal was to assess how the dimensions and types of communal coping are related to family cohesion and individual T2D outcomes. In partial support of the communal coping model, three types of coping emerged, and overall, coping together was beneficial for patient outcomes. [ABSTRACT FROM AUTHOR]

To understand the process of relational turbulence and psychological distress in the context of the military, we used a grounded theory approach to analyze individuals' experiences in online forums. Analyses revealed a process by which perceived changes in individuals' romantic partners or their relationships and suspicions of infidelity led to a cycle of turmoil. Participants reported a tension between caring for their partner and upsetting experiences and relational transgressions, which contributed to them feeling caught in the cycle. In addition to feeling conflicted, the cycle of turmoil also encompassed relational turbulence, psychological distress, and fighting between partners. The conceptual model identified in this study has implications for both theory and practice, including underscoring the importance of relational turbulence theory and identifying feeling conflicted as a potentially viable point of intervention. [ABSTRACT FROM AUTHOR]

Stigma is pervasive and debilitating for people living with diabetes, carrying emotional, physiological, and social influences. Although researchers have investigated the sources and consequences of diabetes stigma, little is known about the lived experience of stigma. In this study, we used grounded theory methods to analyze data from 22 online diabetes forums. Results revealed that blaming and shaming was a core experience for people with diabetes, manifesting in feeling isolated, coping with weight, centering diabetes, and internalizing myths and misinformation. Posters disrupted their blame and shame by educating themselves and others and seeking mental health treatment. Results of the study have implications for research on diabetes stigma and practical value for mitigating the consequences of stigma. [ABSTRACT FROM AUTHOR]

Type 2 diabetes has deleterious physiological, psychological, and relational effects both on people living with diabetes (PLWD) and on their family members. We employed the communal coping model to investigate whether coping alongside family members was advantageous. Specifically, PLWD (n = 213) and family members of PLWD (n = 208) completed an online survey assessing their coping responses and a variety of diabetes‐related outcomes (i.e., depressive symptoms, relationship satisfaction, and self‐care). Generally, results indicated that more communal coping was beneficial. However, a second goal of this study was to examine discrepancies between levels of actual communal coping and desired communal coping, and the findings from these analyses add nuance to the generally held belief that more communal coping is always better. [ABSTRACT FROM AUTHOR]

The communal coping model argues that people cope with stress in the context of their relationships and that coping responses are both cognitive and behavioral in nature. However, the cognitive dimension of the model (appraisal) has not been explicated in extant research. The purpose of this study is to fill that gap by conceptualizing the appraisal dimension of communal coping in the context of families managing one member’s type 2 diabetes. Analysis of interviews with individuals with type 2 diabetes and their family members (N = 28) revealed that appraisal consists of problem ownership and perceived problem influence and that appraisals are influenced by knowledge of the disease and changing health status. Theoretical and practical implications are discussed. [ABSTRACT FROM AUTHOR]

Although parents of adult service members play a pivotal role in the dynamics of military family life, they tend to be overlooked in research on military families. We seek to shed light on their experiences by investigating online discourse about having a son or daughter serving in the U.S. military. We used grounded theory methods to create a model depicting the process by which parents communicated in the online forums. At the heart of the model was the central theme of parents coping with the stress of military life. Parents were troubled by losing time with their child and feeling alone because of his or her absence, which led them to feel chaotic emotions. They coped with their stress by seeking support, relating to others with similar experiences, and focusing on the positive. We consider both the theoretical implications of these findings for understanding coping and supportive communication and the practical implications for meeting the needs of military parents. [ABSTRACT FROM AUTHOR]

The transition from deployment to reintegration can be stressful for returning military personnel and at-home partners, and support plays a key role in their ability to transition effectively. We draw on relational turbulence theory to advance predictions about how parameters of the relationship between returning service members and at-home partners predict their perceptions of their partner’s support during the post-deployment transition. We surveyed 235 individuals (117 returning service members, 118 at-home partners) who had experienced the transition within the past 6 months. Findings consistent with the theory indicated that relational turbulence partially mediated the negative associations that relational uncertainty and interference from a partner shared with partner support. Partner uncertainty was a direct negative predictor of partner support as well. We consider how these results extend theory, research, and practice. [ABSTRACT FROM AUTHOR]

Relational uncertainty is an undeniable aspect of military life, but the literature lacks knowledge about the lived experiences of military couples. We examined how individuals communicate in online forums about relational uncertainty in military life using a grounded theory approach to analyze 1,794 pages of threads. Results demonstrated that posters detected deception and/or recognized change, which led to volatile emotions, and ultimately prompted them to seek help for managing relational uncertainty. Posters dealt with their questions by engaging in self-care, justifying the partner’s behavior, postponing action, and doing relationship work. In reply, responders provided emotional support by offering comfort and reframing change. They provided informational support by recommending that posters acknowledge deception, take care of themselves, consider the partner’s perspective, defer major changes, and work on the relationship. These findings advance theorizing about relational uncertainty and social support; they also suggest guidelines for helping military couples manage relational uncertainty. [ABSTRACT FROM AUTHOR]

Utilizing self-reported survey data from 120 low-income, Spanish-speaking mother–child dyads, this study examined different types of classes (i.e., subgroups) based on the ways in which mothers and adolescent children coped with language brokering, particularly when they found it stressful. Four classes emerged, listed from largest to smallest class: (a) communal coping mothers, (b) shared communal copers, (c) independent communal coping children, and (d) communal coping children. Mothers’ parent–child closeness predicted class membership, but adolescent children’s reported closeness was not a significant predictor. Nevertheless, adolescent children’s respect for family significantly predicted class membership, whereas mothers’ respect for family was not a significant predictor. Mothers who were members of the communal coping children class reported less frequent depressive symptoms, whereas children who were independent communal coping children reported more frequent depressive symptoms. [ABSTRACT FROM AUTHOR]

Utilizing a focus theory of normative conduct and primary socialization theory, this study hypothesized that parents’ references to the negative consequences of alcohol use, to their own past use, to conditional permissive messages about use, and to drinking responsibly (all from the adolescents’ perspectives) are indirectly related to adolescents’ intention to drink alcohol through their pro-alcohol norms. Furthermore, it was hypothesized that parents’ alcohol consumption, as perceived by the adolescents, would moderate these indirect associations. Using cross-sectional survey data from 259 high school students, parents’ references to the negative consequences of alcohol use were related to weaker pro-alcohol norms, and in turn, weaker alcohol-use intention. By contrast, parents’ conditional permissive messages and references to drinking responsibly were related to stronger pro-alcohol norms, and in turn, stronger alcohol-use intention. Adolescents’ perceptions of their mother’s and father’s alcohol consumption were significant moderators of what they said to their children about alcohol. [ABSTRACT FROM AUTHOR]

HIV creates substantial uncertainty for people infected with the virus, which subsequently affects a host of psychosocial outcomes critical to successful management of the disease. This study assessed the efficacy and durability of a theoretically driven, one-on-one peer support intervention designed to facilitate uncertainty management and enhance psychosocial functioning for patients newly diagnosed with HIV. Using a pretest–posttest control group design, 98 participants received information and training in specific communication strategies (e.g., disclosing to friends and family, eliciting social support, talking to health care providers, using the Internet to gather information, and building social networks through AIDS service organizations). Participants in the experimental group attended six 1-hour sessions, whereas control participants received standard of care for 12 months (after which they received the intervention). Over time, participants in the intervention fared significantly better regarding (a) illness uncertainty, (b) depression, and (c) satisfaction with social support than did those in the control group. Given the utility and cost-effectiveness of this intervention and the uncertainty of a multitude of medical diagnoses and disease experiences, further work is indicated to determine how this program could be expanded to other illnesses and to address related factors, such as treatment adherence and clinical outcomes. [ABSTRACT FROM PUBLISHER]

Communication about one’s grief is both essential and complicated. We employ communication privacy management theory to examine how bereaved individuals manage the revelation and concealment of private information about the death of a parent or sibling. In-depth interviews (N = 21) with the bereaved indicate that (a) they conceptualize information surrounding the death and their grief as private, (b) they create rules to govern their private information, and (c) violations of those rules result in turbulence. Specifically, individuals employ selectivity, avoidance, and positivity rules that dictate what and with whom they share. We discuss the implications of our findings on grief communication scholarship, CPM theory, and practical issues for helping bereaved individuals and their loved ones navigate discussions about death and the deceased. [ABSTRACT FROM PUBLISHER]

According to primary socialization theory, adolescents develop beliefs about alcohol by interacting with peers, as well as other socialization agents. Although communication is essential to this belief-formation process, few studies have identified the specific alcohol-related messages that adolescents exchange with their peers, and more specifically friends, that lead to certain anti- and/or pro-alcohol-related beliefs. Consequently, the goal of this study was to develop a multidimensional measure of alcohol-specific communication with friends. Based on survey data from 259 high school students, the results indicated that communication with friends involving warnings against drinking alcohol, disapproval of alcohol consumption, and making fun of others for drinking alcohol was negatively related to pro-alcohol beliefs and intentions. Communication with friends involving rumors, teasing each other about drinking alcohol, intentions to drink alcohol, different types of alcohol, experiences with alcohol, and talking about how many peers drink alcohol was positively related to pro-alcohol beliefs and intentions. [ABSTRACT FROM PUBLISHER]

In this study, we examined the content of adolescents’ conversations with their friends about substance use, adolescents’ reactions to such conversations, and reasons why some adolescents did not engage in such conversations. Based on 25 semistructured interviews with high school students, we identified three themes: informational, persuasive, and relational messages. Informational messages included discussing how many peers use substances and clarifying rumors about a friend’s substance use. Persuasive messages involved direct anti-substance-use messages (e.g., warning), direct pro-substance-use messages (e.g., legalizing marijuana), indirect anti-substance-use messages (e.g., disliking their substance-use experience), and indirect pro-substance-use messages (e.g., intentions to use substances). Relational messages included joking about substance use and establishing code words for use. Adolescents reacted to their conversations in several ways, such as shock and increased relational closeness. When adolescents did not talk about substance use with their friend, they offered several reasons, including low response efficacy and fear of ruining the friendship. [ABSTRACT FROM PUBLISHER]

Theemotional cycle of deployment modelproposes that military couples face both obstacles and opportunities across the trajectory of deployment. Guided by the model, we seek to address gaps in the literature by investigating how 236 recently reunited service members and at-home partners (N = 118 couples) describe their experiences during deployment and reunion. Results of content analyses revealed a variety of changes to communication during deployment (RQ1), challenges of reunion (RQ2), benefits of deployment (RQ3), and advice for reintegration (RQ4). These findings bolster and extend the emotional cycle of deployment model; they also have practical utility for helping military couples navigate deployment and reunion. [ABSTRACT FROM PUBLISHER]

In this study, we explore how family members cope with one source of stress—cancer diagnosis and treatment. We suggest that coping away from one’s family is characterized by constraints that are not common to proximal coping. We conducted six focus groups with college students (N = 21) at a university in the United States to investigate their long-distance coping experiences and used grounded theory methods to develop a model of college students’ long-distance coping. Negotiating the tension between being here (at school) and being there (at home) was central to their experiences. Participants described four manifestations of their negotiation between here and there (i.e., expressing/hiding emotion, longing to care for the patient there/avoiding responsibility here, feeling shock at degeneration there/escaping degeneration by being here, and lacking information from there) and three strategies they used to cope (i.e., being here and withdrawing, being here and doing school, and seeking/not seeking support). [ABSTRACT FROM AUTHOR]

War zone exposure is associated with enduring negative mental health effects and poorer responses to treatment, in part because this type of trauma can entail crises of conscience or moral injury. Although a great deal of attention has been paid to posttraumatic stress disorder and fear-based physiological aspects of trauma and suffering, comparatively less attention has been given to the morally injurious dimension of trauma. Robust themes of moral injury were identified in interviews with 26 post-9/11 military veterans. Thematic analysis identified 12 themes that were subsumed under four categories reflecting changes, shifts, or ruptures in worldview, meaning making, identity, and relationships. Moral injury is a unique and challenging clinical construct with impacts on the individual as well as at every level of the social ecological system. Recommendations are offered for addressing moral injury in a military population; implications for community public health are noted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).