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The safety of intracytoplasmic sperm injection (ICSI) as a novel procedure of assisted fertilization may be assessed by the health of the children born. In a prospective follow-up study of children born after assisted procreation, 130 children born consecutively after ICSI were compared with 130 control children born after in-vitro fertilization (IVF). In both groups, mothers were matched for age and had the same standard treatment protocol. There were 74 singleton, 50 twin and six triplet children in each group. Prenatal karyotyping and ultrasound screening, physical examination at birth and developmental milestones, with a follow-up at 2 months and 1 year, were recorded. Prenatal karyotypes were obtained in 100 of the 130 children in the ICSI group compared with 22 of the 130 children in the matched IVF group. All karyotypes were normal except for one prenatally detected mosaicism, which was not confirmed at birth. Four major malformations were detected in the ICSI group (holoprosecencephaly, femur fibula ulna syndrome and palatoschisis in two children), compared with six in the matched IVF group (coarctation of the aorta, palatoschisis, hypospadias, unilateral cryptorchidism, soft tissue syndactily and 11-beta-hydroxylase deficiency). In the ICSI and IVF groups, mean +/- SD birth weights were 2.94 +/- 0.67 and 2.80 +/- 0.73 kg, lengths were 48.46 +/- 3.56) and 47.47 +/- 5.78 cm, and head circumferences were 33.79 +/- 2.20 and 31.19 +/- 8.88 cm respectively. Among the ICSI singletons, the mean +/- SD birth weight was 3.28 +/- 0.58 kg and among the twins it was 2.60 +/- 0.43 kg; for the IVF singletons and matched twins the mean +/- SD birth weights were 3.19 +/- 0.56 and 2.36 +/- 0.61 kg respectively. In conclusion, there was no difference in the paediatric follow-up of 130 children born after ICSI and 130 children born after conventional IVF in age-matched control patients.

The present study examined how support providers’ empathic dispositions (dispositional perspective taking, empathic concern, and personal distress) as well as their situational empathic reactions (interaction-based perspective taking, empathic concern, and personal distress) relate to the provision of spousal support during observed support interactions. Forty-five committed couples provided questionnaire data and participated in two ten-minute social support interactions designed to assess behaviors when partners are offering and soliciting social support. A video-review task was used to assess situational forms of perspective taking (e.g., empathic accuracy), empathic concern and personal distress. Data were analyzed by means of the multi-level Actor-Partner Interdependence Model. Results revealed that providers scoring higher on affective empathy (i.e., dispositional empathic concern), provided lower levels of negative support. In addition, for male partners, scoring higher on cognitive empathy (i.e., situational perspective taking) was related to lower levels of negative support provision. For both partners, higher scores on cognitive empathy (i.e., situational perspective taking) correlated with more instrumental support provision. Male providers scoring higher on affective empathy (i.e., situational personal distress) provided higher levels of instrumental support. Dispositional perspective taking was related to higher scores on emotional support provision for male providers. The current study furthers our insight into the empathy-support link, by revealing differential effects (a) for men and women, (b) of both cognitive and affective empathy, and (c) of dispositional as well as situational empathy, on different types of support provision.

The objective of this article was to develop and psychometrically evaluate a self-report instrument that would assess interpersonal influence in families. The Influence in Families Questionnaire (IFQ) was developed as a 16-item scale which assesses both positive and negative influence. The IFQ and its subscales, when administered to a sample of 581 adolescents and young adults, showed high internal consistency and exhibited a promising pattern of convergent, divergent and criterion validity in relation to relevant criteria such as impact messages, family and attachment relationships and interpersonal sense of control. Overall, these results suggest that the IFQ is a useful instrument for measuring interpersonal influence within families.

The global aim of this study was to explore children’s narratives of parental divorce. A convenience sample, composed of 11- and 14-year-old children, was recruited. A total of 22 children (12 male, 10 female) participated in this focus group study. The findings show that two components seem to be really important for children during the divorce process: the ability to construct meaning about their parents’ decision to divorce and their feeling to count in the process of family transition. Children expressed the need for an explanation about why parents decided to divorce and wanted to matter with regard to the decisions on their post-divorce living arrangements.

The aim of this study was to test whether the effect of the pile-up of demands associated with a disability on quality of life, was mediated by resilience, quantity and quality of social support for adolescents with a disability and their parents. One hundred and thirty two parents, 90 mothers and 42 fathers and 111 adolescents, aged between 16 and 24 years completed measures of the pile-up of demands, social support, resilience and quality of life. Structural equation modeling with the bootstrap resampling method showed that the impact of the disability of their son/daughter on the quality of life of the parents was fully mediated through the parents’ resilience and the quantity of social support and that resilience, however only partly, mediates the effect of adaptive skills on the quality of life of the adolescents with a disability. Limitations of the study and clinical implications are discussed.

This study re-examined the role of romantic relationship characteristics in unwanted pursuit behavior (UPB) perpetration. Relationship characteristics were investigated accounting for the role of breakup characteristics using data from 396 divorced adults and advanced count regressions. The main effects of former relationship characteristics (except conflict) did not contribute explained variance to the frequency of UPBs when controlling for significant breakup characteristics (initiator status and post-breakup negative affect). However, moderator analyses revealed significant effects of relationship satisfaction, alternatives, investments, and anxious attachment in interaction with initiator status and of relationship alternatives in interaction with post-breakup negative affect. These findings illustrate that the association between relationship characteristics and UPB perpetration is more complex than previously thought and are theoretically and clinically valuable.

Former partners comprise the most important subgroup of stalkers. However, contextual factors related to the breakup are hardly examined to explain ex-partner pursuit. In a community sample of 194 separated persons, about one-fifth perpetrated at least one unwanted pursuit behavior in the past 2 weeks. Being female, lowly educated, and socially undesirable raised the number of perpetrated behaviors. Beyond these effects, the number of behaviors increased when the cause of the break was attributed to the ex-partner or external factors and when the ex was appraised as the breakup initiator. Breakup reasons, the ex-partner's lack in meeting family obligations and own infidelity, also related to pursuit behaviors albeit inferior to subjective attributions and appraisals of initiation. Finally, participants who felt more anxious or lonely negative showed more behaviors. The results enlighten that the breakup context gains further attention. Clinical treatment might benefit from fostering cognitive reconstructions and breakup adjustment.

This study investigates children’s eating behavior in a context of bidirectional parent—child influences. Parents and children were asked about their sense of influence and of being influenced concerning food rules. For parents, these feelings seemed to be partly correlated with children’s eating behavior. Additionally, Social Relations Model analysis revealed that parents’ and children’s feelings of influence and being influenced were not only dependent on characteristics of the rater or actor, but also characteristics of the partner and of the unique relationship were found to be important. Furthermore, evidence was found for bidirectional influences, but only for the mother—older sibling dyad.

In the past twenty years or so, research on support processes in relationships has emerged as a distinct development in the field. Researchers have drawn from studies in the fields of communication, social support, and intimate relationships to conduct research examining support processes in relationships on micro and macro levels. Theoretical models of support processes in intimate relationships have been developed and increasingly sophisticated methodologies and data analytic techniques are being used to accumulate considerable and convincing evidence of the importance and complexity of support processes in intimate relationships. This edited book offers a broad yet coherent view of the field, showcasing novel, state-of-the-art research and theory on support processes in intimate relationships. Cutting-edge scholarly work is compiled in one accessible volume, which is designed to provoke and guide new research on social support. The book is divided into five sections designed to reflect emerging themes in the literature on support processes and intimate relationships. "Getting What One Wants: Perceived Support in Intimate Relationships" highlights the importance of offering support that is consistent with the needs of the recipient. "Providing What Partners Need: Interpersonal Aspects of Support" focuses on the importance of empathic understanding, validation of support seekers' needs, attachment styles, and the emotional context for effective support provision. "Complexities of Support Processes in Individual and Couple Well Being" highlights the complex nature of support, presenting research on the effects of partner support on coping with stress, differential responses to daily support, and the importance of providing support for positive events. "Support in the Context of Health-related Problems and Behaviors" is comprised of chapters describing the effects of support on health, illness, and injury. Finally, "Culture and Gender" presents research that explores the role of gender and culture in support processes in couples.

The Interdisciplinary Project for the Optimization of Separation Trajectories in Flanders, IPOS, collected a unique Belgian data set of divorcing people and their children. All aspects of the innovative, process orientated and multidisciplinary model of quality of life are longitudinal examined. The methodology and first results of this IPOS-study are presented. Special attention is paid to mediation.

The present study aimed at providing a comprehensive analysis of individual differences in the regulation of attachment distress as measured through different components of the emotional response, including neuroendocrine reactions, subjectively experienced affect, and proximity seeking behaviour. Emotional responses were measured before, during, and after the induction of attachment distress in a sample of couples. Analyses using multi-level modelling revealed that, in both men and women, attachment anxiety was related to physiological (i.e., cortisol) and subjective emotional distress responses, whereas attachment avoidance most consistently predicted subjective and behavioural responses to distress. In addition to one's own attachment style, partner's attachment style was also found to modulate emotional and behavioural responses to relational stress, in both couple members. Attachment style was also found to moderate the interrelations between emotional indices, revealing interesting information on the regulatory strategies underlying attachment anxiety and avoidance.

Family-based interventions have been shown to be effective in the treatment of depression, but they have seldom been studied in hospitalized depressed patients. This study assesses the value of the additional use of single-family or multi-family group therapy within this patient population.Eighty-three patients were randomly assigned to: (1) the treatment programme as usual (n = 23), (2) treatment as usual combined with single-family therapy (n = 25) or (3) treatment as usual combined with multi-family group therapy (n = 35). Follow-up assessments were made at 3 months and 15 months.Multi-family group and single-family therapy conditions showed significantly higher rates of treatment responders than the group receiving the usual treatment (49, 24 and 9%, respectively), and higher rates of patients no longer using antidepressant medication (26, 16 and 0%, respectively) at 15 months. Partners taking part in the family treatments were significantly more likely to notice the improvements in the emotional health of the patient early on compared to those in the treatment as usual condition.This study suggests that single-family and multi-family therapy may benefit hospitalized patients with major depression, and may help the partners of the patients to become aware of the patient's improvement more quickly.

This study further elaborates on the mind-reading impairments of young adults with autism spectrum disorder (ASD). The hypothesis is that differences in mind-reading abilities between subjects with ASD and control subjects become more apparent when they have to infer thoughts and feelings of other persons in a less structured or more chaotic conversation, than when they have to do so in a more structured conversation. Conform to the empathic accuracy design, subjects viewed two videotaped interactions depicting two strangers and attempted to infer thoughts and feelings. One of the videotaped conversations was less structured than in the other. The results underscore the significance of structure to the mind-reading abilities of young adults with ASD

In two experiments, participants made symbolic approach and avoidance movements towards or away from attachment figure- and acquaintance-related cues after being primed with a distressing or a non-distressing context. Results showed that automatic approach responses towards the attachment figure were stronger in a distressing than in a non-distressing context, regardless of whether the source of distress was attachment-relevant or -irrelevant and regardless of one's attachment style. Individual differences in attachment anxiety and avoidance were associated with the predicted patterns of approach-avoidance tendencies: attachment anxiety heightened the tendency to approach the attachment Figure (Experiments 1 and 2), whereas attachment avoidance reduced this tendency (Experiment 2). Findings are discussed as providing first evidence on the role of automatic action tendencies in adult attachment.

Self-report data from 200 married couples were used to examine personal characteristics (i.e., extraversion, neuroticism, attachment-related anxiety and avoidance) and relationship properties (i.e., intimacy, commitment, marital conflict, and marital satisfaction) as determinants of supportive behaviours and perceptions of support availability within marital relationships. The data revealed that both personal and relational variables had important value in the prediction of support perceptions, support seeking, and support provision in marriage. Furthermore, relational predictors were found to explain more variability in spousal support than personal characteristics. Finally, results indicated that personal influences on support perceptions and support behaviours were less pronounced when relationship features were taken into account. In conclusion, the present research advocates in favour of a relationship perspective on social support in marriage.

The Interpersonal Reactivity Index (IRI; Davis, 1980) is a commonly used self-report instrument designed to assess empathic tendencies. The IRI consists of four separate subscales: Perspective Taking (PT), Fantasy (FS), Empathic Concern (EC), and Personal Distress (PD). The objective of this study was to examine the psychometric properties of a Dutch version of the IRI. The IRI was administered to a Dutch sample of 651 normal functioning adults. The factor structure of the IRI was examined by using confirmatory factor analysis (CFA). The results of the CFA revealed that there is room for improvement and modification of the original theoretical model. The validity of the IRI was tested using internal criteria (i. e., scale intercorrelations) and external criteria (i. e., correlations with subscales of the EQ-i (Bar-On, 1997), the NEO-FFI (Hoekstra, Ormel, & De Fruyt, 1996), Mach-IV (Van Kenhove, Vermeir, & Verniers, 2001), Rosenberg Self-esteem Scale (Rosenberg, 1965), and the WAIS-III (Wechsler, 2000)). Overall, the internal consistency, construct validity, and factor structure of scores from the Dutch version of the IRI suggest that it is a useful instrument to measure people's self-reported empathic tendencies.

We investigated the role of the child's pain catastrophizing in explaining (1) children's self-reported tendency to verbally share their pain experience with others and (2) different dimensions of pain expression, as described by the mother and the father, including non-verbal and verbal communicative pain behaviour and protective pain behaviour. Participants were school children, children with chronic or recurrent pain, and their parents. The results showed that: (1) Pain catastrophizing was associated with children's greater self-acknowledged tendency to verbally share their pain experience with others. (2) Mothers and fathers perceived highly catastrophizing children to be more communicative about their pain. (3) The role of pain catastrophizing in the child's verbal sharing of pain experiences and in explaining expressive behaviour as rated by parents did not differ between the school children and children with recurrent and chronic pain. (4) Nevertheless, findings indicated marked differences between school children and the clinical sample. Children of the clinical sample experienced more severe pain, more pain catastrophizing, more protective pain behaviour, but less verbal communications about their pain. These results further corroborate the position that catastrophic thoughts about pain have interpersonal consequences. Findings are discussed in terms of the possible functions and effects upon others of pain catastrophizing and associated categories of pain behaviour.

Objective This study examined the actual and estimated empathic accuracy (EA) of the parents of adolescents with chronic fatigue syndrome (CFS). Methods The actual EA of both parents (n ¼24) was assessed in relation to the thoughts and feelings of their child (n ¼14) about CFS and about other life events. Adolescents were also asked to estimate the parents’ EA. Results For the actual EA, both parents were significantly less accurate regarding the adolescent’s thoughts and feelings about CFS than about other life events. Fathers were just as empathically accurate as mothers. For the estimated EA, however, results indicated that adolescents perceived their mother to be more empathically accurate than their father. Actual EA and estimated EA about CFS were negatively correlated for fathers, not for mothers. Conclusions Results are discussed in terms of the importance of assessing EA in relation to other dimensions of empathic understanding and distress in the observer.

Previous studies have focused on concomitants of depression and marital distress in order to help explain the relationship between the two, suggesting that several variables, such as conflict communication, attributions, and attachment style, are associated with depression, marital distress, or both. Our contention is that the selected variables may be important mediators (hypothesis 1) or moderators (hypothesis 2) of the concomitance between depression and marital adjustment, exploring the direct and indirect ways in which depressive symptoms and marital adjustment are related. In total, 415 heterosexual couples were recruited, and a series of regression analyses was conducted to test our hypotheses separately for men and women. Results indicated that demand-withdrawal, avoidance, causal attributions, and secure, ambivalent, and avoidant attachment mediated the relation between depressive symptoms and marital adjustment in the female sample, whereas constructive communication and causal and responsible attributions were significant mediators of men's levels of depressive symptoms and marital adjustment. In addition, avoidance and secure attachment moderated the association between depressive symptoms and marital adjustment in the female sample, and causal attributions were significant moderators of the association between depressive symptoms and marital adjustment for men. Several conclusions and implications for theory and future research are discussed.

Background. According to the optimal stimulation theory and the delay aversion hypothesis, children with attention deficit hyperactivity disorder (ADHD) experience difficulties when they are confronted with low levels of stimulation and delay, respectively. Aim. This study investigated the activity level of children with ADHD during waiting situations in the classroom. Three series of hypothesis were made: (1) with respect to the comparison between waiting and non-waiting intervals, (2) with respect to the effects of non-temporal stimulation, and (3) with respect to the effects of temporal stimulation on behaviour during waiting. Sample and method. The activity level of 14 children with ADHD and 14 control children between the ages of 6 and 11 years was observed during two non-waiting class situations and three waiting situations: without any stimulation, in the presence of non-temporal stimulation and in the presence of temporal stimulation. Results. Both groups of children obtained higher activity scores for all behavioural dimensions during waiting compared with non-waiting situations. The results further revealed additive effects of waiting and diagnostic group on behaviour. Additional non-temporal stimulation during waiting affected the behaviour of all children for most behavioural characteristics. For noisiness, additive effects were also found for diagnostic group and either non-temporal stimulation or temporal stimulation. For restlessness, a trend for an interaction effect between diagnostic group and non-temporal stimulation was found. Conclusion. The findings have clear implications for school observations within an assessment protocol.

As part of a large sexual health study, we used two different approaches to target Sexual Minority Individuals (SMIs). Firstly, we drew on a probability sample (1,832 respondents aged 14-80) of the Flemish population in Belgium. Secondly, we set up a targeted sampling design followed by an Internet survey. Our focus was to explore how two different sampling procedures and survey designs could lead to differences in sample characteristics. Results showed that for female SMIs (we excluded male SMIs from the analyses due to their low numbers) the population sample differed from the Internet sample in terms of sociodemographic characteristics (the latter included younger and more highly educated respondents) and scores on sexual orientation dimensions (the population sample included more respondents who didn’t identify as lesbian or bisexual but reported same-sex sexual experiences and desire). Respondents’ scores on sexual health indicators differed between the samples for two of the seven variables. We discuss implications for improving the quality and validity of nonrandom samples.

VIDANN is a computer program that allows participants to watch a video on a standard TV and to write their annotations (thought/feeling entries) on paper attached to a writing tablet. The system is designed as a Microsoft ActiveX module. It can be further adapted by the individual researcher through the use of a VBScript. All data, including the participant's handwriting, are stored in an XML database. An accompanying Wizard has been designed that enables researchers to generate VBScripts for standard configurations.

In order to evaluate the safety of the intracytoplasmic sperm injection (ICSI) procedure, a prospective follow-up study of 423 children born after ICSI was carried out. The aim of this study was to compile data on karyotypes, congenital malformations, growth parameters and developmental milestones. Before starting the infertility treatment, couples were asked to participate in a follow-up study including genetic counselling and prenatal diagnosis. The follow-up study of the child was based on a visit to the paediatrician-geneticist at birth or at 2 months of age, at 1 year and at 2 years of age when a physical examination for major and minor malformations and a psychomotoric evaluation were done. Between April 1991 and September 1994, 320 pregnancies obtained after ICSI led to the birth of 423 children (222 singletons, 186 twins and 15 triplets). Prenatal diagnosis determined a total of 293 karyotypes, one of which was abnormal (0.3%), and four were benign familial structural aberrations, all inherited from the paternal side. A total of 14 (3.3%) major malformations were observed, defined as those causing functional impairment or requiring surgical correlation. Neurological or developmental problems at the age of 2 months were found in 14 children, four of whom were multiples. Compared to most registers of children born after assisted reproduction and to registers of malformations in the general population, the figure of 3.3% major malformations is within the expected range. Before drawing any firm conclusion, further careful evaluations of the available data are necessary.

IntroductionFamily-based interventions have shown to be effective in the treatment of major depression. In a recent RCT, systemic family groups led to significantly higher rates of treatment responders and higher rates of patients no longer using antidepressant medication at 15 months follow-up compared to standard care.ObjectivesIn order to better understand the underlying mechanisms of change, helpful treatment experiences of depressive patients and their partners in the family groups were explored.Methods34 depressive patients and their partners were asked to fill out an open-ended questionnaire investigating helpful experiences during treatment at the end of a 6 bi-weekly group session cycle. Responses were analyzed using the interpretative phenomenological approach (IPA) by three different researchers.ResultsTen recurring themes were reported as helpful by both the depressed patients and their partners:(1)Presence,(2)Cohesion,(3)Support,(4)Openness,(5)Discussion,(6)Self revelation,(7)Insight,(8)Progress,(9)Observational experiences and(10)Guidance from therapist.ConclusionsThe results of this study help to get insights in the therapeutic factors, which should be emphasized in family groups.

Timing accuracy in presenting experimental stimuli (visual information on a PC or on a TV) and responding (keyboard presses and mouse signals) is of importance in several experimental paradigms. In this article, a simple system for measuring timing accuracy is described. The system uses two PCs (at least Pentium II, 200 MHz), a photocell, and an amplifier. No additional boards and timing hardware are needed. The first PC, a SlavePC, monitors the keyboard presses or mouse signals from the PC under test and uses a photocell that is placed in front of the screen to detect the appearance of visual stimuli on the display. The software consists of a small program running on the SlavePC. The SlavePC is connected through a serial line with a second PC. This MasterPC controls the SlavePC through an ActiveX control, which is used in a Visual Basic program. The accuracy of our system was investigated by using a similar setup of a SlavePC and a MasterPC to generate pulses and by using a pulse generator card. These tests revealed that our system has a 0.01-msec accuracy. As an illustration, the reaction time accuracy of INQUISIT for a few applications was tested using our system. It was found that in those applications that we investigated, INQUISIT measures reaction times from keyboard presses with millisecond accuracy.

This study investigated the psychological adjustment of siblings of children with high-functioning autism (HFA) in comparison with siblings of normally developing children in the domain of behavioural problems, social competence and self-concept.Twenty-nine siblings of children with HFA and 29 siblings of children without a disorder participated in the study. Standardized, written questionnaires were used.Siblings of children with HFA, especially brothers and sisters between 6 and 11 years old, had more behavioural problems than siblings of the control group. Sisters of children with HFA ascribed higher social competence to themselves. Sisters of children with HFA between 12 and 16 years old had a more positive self-concept. In both groups siblings with a more negative self-concept had less social skills and siblings with a more positive self-concept scored better in the social domain. Finally, in accordance with the control group, the perception of the siblings' social competence of parents of children with HFA broadly matched the perception siblings had of themselves.Overall, siblings of children with HFA are not more susceptible to adaptation problems than siblings of children without a disorder. Implications for practice and further research are discussed.

We examined selective attention to threat stimuli as a function of individual differences in adult attachment. Participants completed a dot-probe task in which a general threat word, attachment-related threat word, general positive or attachment-related positive word was presented together with a neutral word. Results showed that attachment anxiety and avoidance were associated with an attentional bias away from attachment threat words. This attentional avoidance effect was best predicted by the interaction between attachment anxiety and avoidance and not by their unique main effects. The findings are discussed in terms of attachment theory and its relation to attentional biases observed in psychopathology.

Social support researchers and clinicians have repeatedly expressed the need to identify the antecedents of social support provision within close relationships. The aim of the present study is to investigate the extent to which individual differences in cognitive empathy (perspective taking) and affective empathy (empathic concern and personal distress) are predictive of social support provision in couples. Study 1 involved 83 female participants in a relatively young relationship; Study 2 involved 128 married couples. The authors used self-report measures in both studies to assess individual differences in empathy and participants' support provision behaviors. The main findings suggest a significant contribution of the different components of empathy with rather different pictures for each of these components. The authors discuss the present findings in light of existing theory and research on social support in relationships.

We report a study that was designed to investigate attachment-related differences in the implicit self-concept and to evaluate the psychometric properties of the Implicit Association Test (IAT) in the context of attachment research. Two variants of the IAT were used to assess implicit relational self-esteem and relational anxiety after stress induction. Results showed that both the relational self-esteem and relational anxiety IAT (1) were meaningfully related to individual differences in attachment style and (2) predicted cognitive and affective reactions to attachment-related distress in addition to and beyond self-report measures of attachment. The results provide evidence for the reliability and validity of the IAT as an index of the implicit attachment self-concept.

The purpose of the Flemish IPOS-project is to uncover the stages which people, including children, go through following a divorce. Based on their findings the researchers will come forward with proposals to improve the quality of life during divorce i.e. through mediation. The IPOS-project started on 1 November 2007. The final report will be published in October 2011. The composition of the research team is multidisciplinary; the participating researchers are lawyers, psychologists and economists.

Starting from the core systemic premise that humans influence each other, this paper focuses on child influences in the bidirectional parent–child relationship. Following a co-constructionist approach on bidirectionality, meaning constructions of children and their parents concerning child influences are explored. The authors used in-depth interviews separately with children and their parents. Phenomenological analysis shows similarities and differences in children's and parents' thinking. Both stress the difficulty and existential dimension of the subject and refer to this influence as mainly unintentional. In particular, children disentangle influence from power. Children focus on the responsiveness of their parents. Parents emphasize the overwhelming effects on their personal development. The importance of making room for constructive child influences in family therapy is acknowledged.

This experiment investigated the effects of child catastrophic thinking and parental presence on the facial expressions of children when experiencing pain. School children experienced pressure pain in either one of two conditions: (1) when observed by a parent (n=53 children and their parent), or (2) when observed by an adult stranger (n=31 children). Analyses revealed that children showed more facial pain expression in the presence of their parent than in the presence of the stranger. This effect was, however, only found for children with infrequent catastrophic thoughts about pain. Children who have frequent catastrophic thoughts expressed high pain regardless of who they believed was observing them. Results are discussed in terms of the social consequences of pain catastrophizing, and the variables contributing to the expression or suppression of pain display in children and its impact upon others.

Previous studies have focused on the difficulties in psychosocial functioning in depressed persons, underscoring the distress experienced by both spouses. We selected conflict communication, attribution, and attachment as important domains of depression in the context of marital adjustment, and we analyzed two hypotheses in one single study. First, we analyzed whether a clinical sample of couples with a depressed patient would differ significantly from a control group on these variables. Second, we explored to what degree these variables mediate/moderate the relationship between depressive symptoms and marital adjustment. The perspectives of both spouses were taken into account, as well as gender differences. In total, 69 clinical and 69 control couples were recruited, and a series of multivariate analyses of variance and regression analyses were conducted to test both hypotheses. Results indicated that both patients and their partners reported less marital adjustment associated with more negative perceptions on conflict communication, causal attributions, and insecure attachment. In addition, conflict communication and causal attributions were significant mediators of the association between depressive symptoms and marital adjustment for both depressed men and women, and causal attributions also moderated this link. Ambivalent attachment was a significant mediator only for the female identified patients. Several sex differences and clinical implications are discussed.

This study investigated early clinical differences between children with a diagnosis of pervasive developmental disorder not otherwise specified (PDD-NOS) and children with attention-deficit/hyperactivity disorder (ADHD). Differential diagnoses between the two disorders is often difficult in infancy or early childhood. Twenty-seven children with PDD-NOS were matched with 27 children with ADHD as to IQ and chronological age. Their parents were retrospectively questioned on pre-, peri-, and postnatal complications and on atypical or delayed development of the children between 0 and 4 years of age. This exploratory study revealed almost no differences between both groups with respect to pregnancy or birth complications. The results suggest that differences between the two groups become more pronounced and specific with growing age. Consequently, this investigation offers sufficient guidelines for more specific research with larger samples.

Interactions about safer sex between partners in close relationships were compared with those between opposite sex strangers in order to explore the hypothesis that cognitive representations of close relationships can discourage effective safer‐sex negotiations. The type of discussion topic (safer sex vs. a control topic) was crossed with the type of discussion partner (dating partner vs. an opposite‐sex stranger) to create four groups of dyads. Based on the verbal and nonverbal behaviors coded from the videotaped discussions, safer‐sex discussions between intimates were found to evoke more nonverbal signs that salient goals were left unresolved than did safer‐sex discussions between opposite‐sex strangers or control‐topic discussions between either intimates or strangers. Destructive and withdrawal communication patterns, comparable to those observed in distressed couples, were further found to distinguish the safer‐sex discussions from the control discussions.

The present study investigated the role of psychosocial variables that are indicators for depressive symptomatology within a couple. The variables chosen for this study were conflict communication, marital adjustment, attachment, attribution style, and personality traits--all potentially specific indicators. A global factor analysis on all our measures revealed that our individual and relational measures were stable findings. We wanted to compare a dimensional and categorical view of depression. First, we focused on the total nonclinical sample, considering depression on a continuum, and studying the selected characteristics along with the varying degree of depressive complaints. The results highlighted the importance of individual characteristics (neuroticism and life satisfaction) covarying with the level of depressive symptomatology in the nonclinical sample (n = 186 couples). Second, in addition to this correlational design, we compared the group of most depressed subjects and their partners with a control sample (n = 34). Both approaches pointed to the same conclusion: individual characteristics covaried with mild depression, whereas couple characteristics only came into the picture with a higher level of depressive complaints. The lowest levels of depressive complaints were associated with individual co-morbidity only, whereas increasing complaints went along with additional relational complaints. Implications for assessment and future research are discussed.

This study examines whether clinical practice guidelines (CPG) for the introduction of assistive devices (ADs) in home care improve shared decision-making about AD use and modify its social-cognitive correlates. Data were collected in an intervention study with quasi-experimental design. Questionnaires were obtained from 116 home nurses and home care workers and their 140 clients with disabilities. Significant differences between intervention and control group revealed that implementation of CPG improved home nurses' and home care workers' self-reported practice: the number of intervention methods they applied increased, and the methods were applied with increased intensity. Nurses' attitudes towards introducing ADs in a shared decision-making process decreased in both intervention group and control group over time. Clients' reports about caregivers' practice showed a minor concurrence with the reports of the caregivers themselves. The complexity of the CPG and a substantial time investment were reported as the main barriers to involving clients in shared decision-making through the experimental CPG. Nevertheless, CPG hold promise for shared decision-making between formal caregivers and community-dwelling persons with disabilities concerning AD use. The findings suggest that these CPG can structure communication between caregiver and client, and can support caregivers in facilitating clients' self-determination concerning coping with their disabilities.

We explored gender differences in actual and perceived spousal support in a survey study involving 458 married Belgian couples and in an observational study involving 32 married Belgian couples. Self-reports were used in both studies to assess spouses’ support behaviors and perceived support. These measures were supplemented in Study 2 with measures of observed support behavior and on-line perceived support, as assessed during support interactions. Overall, the self-report measures yielded significant gender differences in support soliciting and support provision, whereas the observational measures did not. Furthermore, the results concerning global and on-line perceived support and support profiles were inconsistent with the “support gap” perspective. These findings were discussed in light of the existing research on gender differences in support and marriage.

Adolescents and young adults today are increasingly knowledgeable about AIDS and HIV transmission. However, in several studies substantial confusion is observed especially concerning how HIV is not transmitted and the prophylaxis against AIDS. Additional efforts to answer specific knowledge lacks are still useful. There is, however, no evidence that the actual knowledge level influences the interest in additional information. The aim of this study was to obtain a detailed investigation of the AIDS- and HIV-related knowledge level and the perceived need for additional information and to assess the (absence of an) association between both. Results of factor analysis and canonical correlation analysis confirmed the hypothesized incongruence between actual knowledge and need for additional information. Although respondents indicated that they had received sufficient information or that they were rather indifferent with regard to additional information, answers on knowledge questions showed important misconceptions. Moreover, associations between a specific knowledge scale and a specific information need factor were weak and not significant. The results contradict the importance of a detailed assessment of specific needs for additional information as an explanation for this incongruence and leave the possible role of an overestimation of one's own knowledge level. This study could not answer the question about the failure of traditional school-based sex education to provide youngsters with the information they need. However, a possible explanation for the overestimation of one's knowledge level could be the use of unreliable information sources—such as peers—in combination with a feeling of indifference towards traditional school-based sex education.