Indirect Actor Research Articles

Shared care in heart failure management is linked with physical and mental health by perceived control in patient-caregiver dyads

Abstract Background Patients with heart failure (HF) and their family caregivers have interdependent relationships in managing HF. Shared care within dyads refers to interpersonal interactions characterized by exchanging care and support in chronic illness management. High levels of shared care improve patients’ health outcomes, but it is unclear if shared care is equally beneficial for caregivers. Also unknown is how shared care contributes to the outcomes of both dyad members. We propose that perceived control may be critical in the link between shared care and health status for dyads. Thus, the purpose of this study was to determine whether perceived control over one’s health mediates the association between shared care and physical and mental health in patients with HF and their caregivers. Method Patients with HF and their primary caregivers (N=151 dyads) completed questionnaires in this cross-sectional study. Shared care, perceived control over one’s own health, and health status were assessed using the three subscales of the Shared Care Instrument (i.e., communication, decision-making, and reciprocity), the Cardiac Attitudes Scale-Revised, and the Medical Outcomes Study Health Survey-36, physical and mental health scales, respectively. A series of actor-partner interdependence models with mediation dyadic analyses were conducted. Results Patients with HF (mean age 60.3 Years, 64% male) and their caregivers (mean age 56.6 years, 75% female) reported similar levels of communication and reciprocity in shared care, but patients reported higher scores of decision-making in shared care than their caregivers (P < .001). Perceived control over one’s own health significantly mediated the association between communication and physical health (indirect actor effect = .1487; 95% CI: 0.0478 to 0.2759) and between communication and mental health (indirect actor effect = .1650; 95% CI: 0.0454 to 0.3260) for patients, not caregivers (Figures A1 & A2). Similarly, perceived control significantly mediated the association between reciprocity and physical and mental health for patients, not caregivers (Figures B1 & B2). Perceived control mediated the association of decision-making with physical health and mental health for caregivers, not patients (Figures C1 & C2). Conclusion Higher levels of communication and reciprocity increased patients’ perceived control, ultimately improving their physical and mental health, whereas caregivers’ decision-making improved their health by enhancing their perceived control over their health. The different patterns of shared care are linked to the health of patients and caregivers by enhancing perceived control over one’s health.Figure A & BFigure C

Associations Among Family Strengths, Depression and Life Satisfaction Between Disabled Children and Their Parent Caregivers: An Actor–Partner Interdependence Mediation Model

ABSTRACTAimTo explore the actor–partner effect and mediating role of depression on family strength and life satisfaction among children with disabilities and their parent–caregiver dyads.DesignA cross‐sectional study using secondary data collected from the 2020 (third) Korea Disability and Life Dynamics Panel.MethodsThis study included 434 Korean dyads of children with disabilities and their parent caregivers. A dyadic analysis was performed using the actor–partner interdependence mediation model.ResultsThe findings showed significant indirect actor effects of family strength on life satisfaction through depression for children with disabilities and their parent caregivers. The direct partner effects of one's family strengths on a partner's life satisfaction were statistically significant only for children. Additionally, significant indirect partner effects were observed in the association between parents' family strengths and children's life satisfaction through their own and their children's depression. The findings indicated that the life satisfaction of children with disabilities was more likely to be affected by their parent caregivers' perceived family strengths and depression.ConclusionIt is significant for health professionals to acknowledge the mediating and cross‐over pathways linking family strengths to life satisfaction through depression and, thus, focus on family‐based strategies to enhance life satisfaction among children with disabilities and their parent caregivers.Implications for the Profession and/or Patient CareThis study highlights the need for family‐oriented mental health interventions and education to promote life satisfaction among children with disabilities and their parent caregivers.ImpactBasic data were provided for establishing efficient healthcare education and counselling protocols and integrated family intervention programmes that can contribute to improving life satisfaction through the reduction of depression by strengthening the family strengths of disabled children–parent caregivers dyads. In future, studies should explore dyadic interdependence among children with disabilities and their parent caregivers.Reporting MethodSTROBE guidelines were followed for this study.Patient or Public ContributionNo public or patient contribution was required for this study.

Dyadic examination of parents' general psychological distress and coparenting in families with young children: The mediating role of couple satisfaction

AbstractThe current research explored the dyadic relationships between general psychological distress (GPD) and coparenting dimensions (cooperation, conflict, triangulation) through the mediation of couple satisfaction among parents with young children. The sample comprised 184 heterosexual couples (184 mothers, 184 fathers, age range from 25 to 57 years) married for 10 years on average. The actor–partner interdependence model (APIM) and APIM Mediation Model analyses demonstrated significant relationships between mothers' and fathers' GPD and all three of their own coparenting dimensions (direct actor effects), also through their own couple satisfaction (indirect actor–actor effects). Additionally, mothers' GPD had direct effects on fathers' coparenting cooperation (partner effect). Fathers' GPD had significant indirect effects on all dimensions of mothers' coparenting through mothers' couple satisfaction (partner–actor effects), plus on mothers' coparenting triangulation through fathers' couple satisfaction (actor–partner effect). Findings were in line with Family System Theory and consistent with prior research. Clinical implications were discussed.

Dyadic effects of perceived stress, relationship satisfaction and distress disclosure on emotional distress in colorectal cancer patients and their family caregivers: An actor-partner interdependence mediation model

ObjectiveThis study adopted a dyadic analysis method to examine the effect of perceived stress on emotional distress and determine whether relationship satisfaction and distress disclosure act as mediators in colorectal cancer (CRC) enterostomy patient-caregiver dyads. MethodsA total of 312 patient-caregiver dyads completed measures assessing perceived stress, relationship satisfaction, distress disclosure, and emotional distress. The data were analyzed using the actor-partner interdependence mediation model. ResultsThis study found that the perceived stress of patients and caregivers both had direct and indirect actor effects on emotional distress (through relationship satisfaction). Another important finding is that perceived stress had indirect actor-partner effects (through distress disclosure) on emotional distress. ConclusionsThis study highlights that perceived stress, relationship satisfaction, and distress disclosure of patients and their caregivers are key factors that can be considered for improving emotional distress. It also partially confirmed the interdependence of patients with CRC and their caregivers.

PARENTAL STRESS, INCONSISTENT DISCIPLINE AND CHILDREN’S EMOTION REGULATION: A DYADIC ANALYSIS

The preschool period is one in which parents experience high levels of stress, with one of the main tasks of parenting being related to promoting children’s emotion regulation through appropriate parental practices. Previous studies focused mainly on investigating the effects of parental stress on children’s broader socio-emotional outcomes (Chazan-Cohen et al., 2009; Neece et al., 2012). Therefore, our study aims to explore the association between parental stress and children’s emotion regulation within a dyadic context, gathering data from both parents, while investigating the mechanisms underlying this association. This cross-sectional study involved 103 parental dyads, with at least one typically developed preschool children aged between three to six years. Parents completed self-reported scales regarding parental stress, inconsistent discipline as a parental practice, and children’s emotional regulation. Dyadic analysis was conducted using the Actor-Partner Interdependence Mediation Model (APIMeM). Results showed that mothers’ and fathers’ stress had a direct negative effect on their perceptions of children’s emotion regulation (the actor effects), and mothers’ stress had a direct negative effect on fathers’ perceptions of children’s emotion regulation (the partner effect). Also, the results of mediation analysis revealed that only in fathers’ case, parental stress exerts an indirect actor effect on children’s emotional regulation through their inconsistent discipline. Fathers’ stress was positively related to fathers’ inconsistent discipline, which, in turn, decreased levels of mothers’ perception of children’s emotional regulation. Future intervention programs should focus on parents’ self-awareness regarding the damaging impact of inconsistent discipline. Also, reducing parents’ stress should constitute one of the main goals of parental-based interventions

Social Inhibition and Depressive Symptoms among Couples with Children with Autism Spectrum Disorder: The Mediating Role of Perceived Family Support.

Background and Objectives: A limited understanding exists regarding the intricate dynamics between the levels of social inhibition exhibited by both wives and husbands concerning their perceived family support and depressive symptoms, particularly within couples who are parents of children diagnosed with autism spectrum disorder (ASD). Materials and Methods: This study used the actor-partner interdependence mediation model to analyze data collected from 397 pairs of Chinese parents with children diagnosed with ASD. Results: The findings of the study revealed significant indirect actor effects, indicating that the levels of social inhibition exhibited by both wives and husbands were associated with their own depressive symptoms through their respective perceptions of family support. In general, the study did not find significant partner effects, except for some indirect effects of wives on their husbands' depressive symptoms through the wives' perceived social support. Conclusions: In line with related studies, social inhibition was associated with depressive symptoms. At the same time, perceived family support could be a mediator of depression. Gender differences in emotional expression, influenced by cultural norms and distinct role expectations within the family context, may elucidate why only wives' perceived family support could impact husbands' depressive symptoms. These results underscore the potential importance of interventions aimed at addressing social inhibition and enhancing perceived family support to alleviate depressive symptoms in this population. Additionally, encouraging family support for both wives and husbands' involvement in collaboration may be of benefit in improved outcomes for both parents and children within families affected by ASD.

Foster caregivers' depressive symptoms and parenting stress: Applying the theory of resilience and relational load

AbstractObjectiveThe aim of the current study was to identify constructive interpersonal behaviors that may make relational partners more resilient while foster caregiving.BackgroundFoster caregiving can be stressful due to the unique demands of the role. Consistent with the theory of resilience and relational load, we propose one possible way for couples to manage stress and promote resilience is by investing in their relationships through repetitive and positive relationship maintenance behaviors.MethodTwo‐parent foster caregiving couples (N = 227) completed online surveys measuring perceptions of their own and their partners' relationship maintenance and conflict management behaviors, as well as individual reports of depressive symptoms and parenting stress.ResultsStructural equation actor–partner interdependence modeling indicated significant direct and indirect actor effects, but no partner effects. Both men's and women's perceptions of the couple's relationship maintenance were positively associated with their perceptions of the couple's conflict management, which, in turn, were negatively related with their own depressive symptoms and parenting stress.ConclusionCouples' prosocial and constructive behaviors are related to lower mental distress in foster caregivers.ImplicationsCouple‐focused interventions may be helpful in promoting behaviors that enhance couple functioning and promote the well‐being of foster caregivers.

Emotion Regulation Difficulties and Relationship Satisfaction in Adolescent Couples: The Role of Conflict Resolution Strategies.

Emotion regulation difficulties have been found to predict relationship satisfaction in adult samples, yet little is known with regards to the processes explaining these associations in adolescent dating relationships. Furthermore, among the available literature, most studies only consider one romantic partner. To address this gap, this study used a dyadic approach and considered the role of conflict resolution strategies (i.e., positive problem-solving, withdrawal, and conflict engagement) in the association between adolescents' emotion regulation and romantic relationship satisfaction. A sample of 117 heterosexual adolescent couples from Québec, Canada, was recruited (Mage = 17.68, SD = 1.57; 50% female, with 40.60% being in their first romantic relationship, and 48.29% reporting that this relationship was ongoing for more than a year). Results from APIMeM analyses indicated no direct effects between emotion regulation and relationship satisfaction. Significant indirect actor effects indicate that boys and girls with greater emotion regulation difficulties were less satisfied with their relationship via more withdrawal strategies. A partner effect emerged for girls, such that their boyfriend's regulation difficulties and greater withdrawal had a negative impact on their relationship satisfaction. This study identifies withdrawal as a key strategy in explaining the associations between emotion regulation difficulties and relationship satisfaction. Furthermore, it highlights that within adolescent couples, boys' withdrawal can be particularly deleterious to relational well-being.

Examining actor–partner effects between social dominance, relationship power, sexism, and marital quality

AbstractObjectiveThis study aimed to investigate the actor–partner effects of attitudes toward group‐based inequality as measured by social dominance orientation (SDO) and marital quality, and the indirect actor–partner effects of SDO on marital quality via ambivalent sexism and partners' perceptions of their own relationship power toward their partner.BackgroundPrevious research suggests that certain social attitudes play a role in relationship processes. However, it is unclear whether broader views on social inequality could have an effect on partners' marital quality.MethodNinety heterosexual married couples in Turkey (N = 180) responded via an online survey on SDO, marital quality, relationship power, and ambivalent sexism. Actor–partner interdependence model (APIM) and actor–partner interdependence model of mediation (APIMeM) were conducted to examine the direct and indirect actor–partner effects.ResultsFor indirect effects, men's SDO was negatively associated with their marital quality through their relationship power and hostile sexism. No significant indirect effects were found for women. However, women's relationship power was positively and their benevolent sexism was negatively associated with their own and their partners' marital quality.ConclusionOur findings help develop a more comprehensive understanding of how the political, social, and personal aspects of our lives are connected with one another.ImplicationsOur study points to the importance of exploring the topic of men's and women's views toward social inequality and its effects on their close relationships in clinical practice and relational education.

The Nightmare Island: Representations of St. Barthélemy in Swedish Novels

The Nightmare Island: Representations of St. Barthélemy in Swedish Novels

Parental stress mediates the effects of parental risk factors on dysfunctional parenting in first-time parents: A dyadic longitudinal study.

Both parental psychological well-being (e.g., depressive symptoms) and parental relationship functioning (e.g., negative communication) are common parental risk factors for dysfunctional parenting. The spillover process from these parental characteristics to dysfunctional parenting is assumed to be amplified by parental stress, which is particularly common among mothers and fathers of young children. However, few studies have examined dyadic spillover processes from parental risk factors and parental stress on parenting in early childhood. In the current study, we first examined direct actor and partner effects of parents' depressive symptoms and negative communication at 10months postpartum on dysfunctional parenting at 48months postpartum in 168 primiparous mixed-gender couples. Second, we analyzed indirect effects via one's own and the partner's parental stress at 36months postpartum using Actor-Partner Interdependence Mediation Models (APIMeM). We found direct actor effects for mothers' depressive symptoms and negative communication on their dysfunctional parenting. Additionally, indirect actor effects were found for depressive symptoms and negative communication among mothers and fathers. Specifically, mediating effects of depressive symptoms and negative communication on one's dysfunctional parenting through one's parental stress were found. There were no indirect partner effects through parental stress. These findings highlight the important role of parental stress in early childhood as a mediator between both individual and relationship parental risk factors and dysfunctional parenting. These results further underscore the importance of longitudinal dyadic analyses in providing early and tailored interventions for both mothers and fathers of young children.

Resource loss, gain, and traumatic stress in couples during COVID-19.

This study was designed to understand how resource losses and gains during the early months of COVID-19 pandemic-related shutdowns in the United States longitudinally predicted variation in posttraumatic stress symptoms (PTSS) in couples by examining actor and partner effects. A dyadic sample was recruited through the panelist company "Forthright" to complete an online survey asking about experiences with COVID-19 and PTSS. The sample included 535 heterosexual couples from several U.S. states who responded to the survey in April, July, and October of 2020. Actor-partner interdependence modeling (Kenny et al., 2006) was used to explore longitudinal associations within and between partners. Results showed that higher PTSS at Wave 1 significantly, positively predicted both loss and gain at Wave 2 within and between partners. Loss at Wave 2 was a significant predictor of PTSS at Wave 3 within partners. Furthermore, indirect actor and partner effects from Wave 1 to Wave 3 PTSS are discussed. Greater loss, within and between partners, was a predictor of greater posttraumatic stress over time in this study. Further, PTSS were connected over time across partners. While gains have an important role in understanding the effects of the pandemic, loss may be pivotal for clinical focus in addressing posttraumatic stress in dyadic treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Coworker Injustices and Their Delegated Authority: Developing an Indirect Actor Model of Supervisor Justice

Supervisors directly influence employees’ perceptions of supervisor justice and subsequent supervisor-supportive behaviors by displaying just treatment through ongoing work interactions. Using a two-study design, we build on this target similarity approach by examining the potential for an indirect actor to be held accountable when a direct offender is acting on the indirect actor's behalf. Integrating fairness and role theory perspectives, Study 1 shows that the relationship between coworker injustice and supervisor-supportive citizenship behavior is mediated by supervisor blame and supervisor justice. Further, these linkages are strengthened when the offending coworker is delegated additional authority by the supervisor. Delegation more clearly connects the supervisor to the coworker's unjust behavior because the coworker is seen as an intermediary for the supervisor (i.e., perceived intermediary delegation-PID). In a constructive replication, Study 2's results support the basic mediation model from Study 1 but also show that the PID effect is influenced by victims’ relative standing with the supervisor compared with their offending coworkers (i.e., relative status). PID's strengthening effect as a result is most pronounced when victims of coworker injustice hold lower relative statuses than offenders. We conclude with implications of our findings and areas for future research.

Aktivisme Warga dan Negara dalam Kerusakan Lingkungan di Lebak Banten

Environmental damage caused by the negative impact of industrial activities in the Bayah District area which causes public complaints about health. This triggers the emergence of community activism gathered in JMPB with its role which always strives for environmental sustainability and demands industry accountability by reporting directly on forms of pollution to the government so that the government pays more attention to the impact of industry on the environment. The purpose of this study is to find out how the emergence of social movements in Bayah, JMPB’s efforts in reducing environmental damage, and the role of the government in supervising and evaluating industry in Bayah. This research uses a qualitative method with a case study approach. The results showed that the emergence of social movements in Bayah was caused by the presence of PT Cemindo Gemilang which produces cement and has an impact on the environment and public health. The role of JMPB as an indirect actor is conducting protests, environmental socialization, parallel training, reforestation, and reposting forms of pollution to the authorities. Meanwhile, the role of DLH Lebak Regency as a direct actor who has an important role in environmental supervision and can provide sanctions to the industry in accordance with indications of environmental damage that occurs.

A Dyadic Analysis Exploring the Mediating Role of Relationship Quality on Discrimination and HIV/STI Risk Among Young Black and Latino Expecting Couples.

Encounters with discrimination are a normative experience for many Black and Latino adolescents and young adults (AYAs); these experiences may be even more common for expecting AYAs. While the harmful effects of discriminatory experiences on mental and physical health have been well explored, relatively little is known regarding the impact of discrimination on relationship quality and sexual health-specifically HIV/STI risk.Using the Actor Partner Interdependence Model, we examined both actor and partner effects of discrimination on relationship quality and willingness to be non-monogamous in a sample of 259 pregnant adolescent and young adult couples. There was a significant indirect actor effect, such that one's own discrimination was associated with a decrease in their own relationship quality which, in turn, was associated with their own greater willingness to be non-monogamous. The partner effect for the association of one's partner's discrimination on one's own relationship quality was not significant. Findings highlight the need for more attention to the implications of discrimination on relational and sexual health.

The association between financial distress, conflict management, and co-parenting support for couples receiving child welfare

This study examined financial distress, conflict management, and co-parenting support among 254 couples receiving child welfare services. Using an actor-partner interdependence model, this study tested the indirect association between couples’ financial distress and their perceptions of co-parenting support through the use of positive conflict management strategies. Indirect actor effects were found for both mothers and fathers such that financial distress was associated with reports of less positive conflict management behaviors, and in turn less co-parenting support. When mothers reported that they and their partner engaged in less positive conflict management behaviors, they were more likely to be perceived as less supportive by their co-parent. Model results did not differ for married versus unmarried couples. For couples experiencing financial distress, findings imply that how effectively couples experiencing financial distress manage conflict in their relationship could potentially spillover and influence how well they support each other in co-parenting their children. Implications for practice are discussed.

Dyadic effects of enacted stigma, internalized homophobia, and communal coping on depressive symptoms among cisgender sexual minority male couples.

The present study investigated the dyadic direct and indirect effects of enacted stigma on depressive symptoms via internalized homophobia and whether communal coping moderated the effects of enacted stigma on internalized homophobia and depressive symptoms. Hypotheses were tested using actor-partner interdependence models with a sample of 543 cisgender sexual minority male couples. Results showed both partners' enacted stigma experiences were associated with elevated levels of internalized homophobia via actor and partner effects. Internalized homophobia was only associated with elevated depressive symptoms via actor effects. Indirect effects analysis suggested that internalized homophobia mediated the actor and partner influence of enacted stigma on depressive symptoms. Communal coping moderated the direct effects of enacted stigma on internalized homophobia and attenuated the conditional indirect actor and partner effects of enacted stigma on depressive symptoms. Findings underscore the role of intimate relationship processes in understanding the impacts of enacted stigma on depressive symptoms.

Actor-Partner Effects of Mother-Adolescent Communication and Conflict on Psychological Well-Being for Mothers and Male/Female Adolescents

Objectives: Guided by the family systems theory (Bowen, 1966) and the Actor-Partner Interdependence Model (APIM; Cook & Kenny, 2005), this study examined the actor-partner effects of mother-adolescent communication on the psychological well-being of mothers and their adolescent children via mother-adolescent conflict and the differences between female and male adolescents.Methods: A total of 249 dyads of mothers and their adolescent children (age 13-16) in South Korea completed questionnaires on mother-adolescent communication, mother-adolescent conflict, and psychological well-being, respectively. The data were analyzed using Pearson’s correlation, path model analysis, and multiple group analysis.Results: First, the findings showed both partial actor and partner effects of perceived mother-adolescent communication on psychological well-being through a perceived level of conflict in both male and female adolescents and mother pairs. In addition, we examined sex differences for the aforementioned indirect pathways. There were sex differences in the indirect actor effects, in that mothers’ and adolescents’ own perceived communication had differential effects on psychological well-being indirectly through perceived conflict. The indirect partner effects also differed between male and female adolescents. The results of this study are meaningful because they emphasize the bidirectionality of the relationships among these variables.Conclusion: The findings contribute to the literature by highlighting the dyadic process in which mother-adolescent communication, conflict, and psychological well-being perceived by mothers and adolescents affect themselves as well as each other. This study is meaningful because the results emphasize the relationships between these variables. In utilizing a family systems approach, this study’s findings can aid in developing parent education programs, counseling interventions, and family policies that improve individuals’ psychological well-being.

Perception et autoportrait de l’interprète indigène en Afrique coloniale française

African interpreters were hired to serve as intermediaries between Europeans and Africans, but they ended up establishing themselves as key parties in the mediation process, wielding as much power as both the colonial administrators and the traditional authorities. In so doing, they actively participated in the colonial enterprise, which involved dominating and exploiting native masses, promoting Eurocentrism, as well as fostering the rule of injustice and violence. Although in the African community the interpreter ’s status brought him privile ges and some respect, he was viewed with suspicion – and even contempt – by European colonial officers, who considered him as a threat to their own existence. Eventually, this indirect actor of the disintegration of African traditional societies could really identify neither with his fellow natives, for whom he was part of the colonial administration, nor with Europeans, who would rather keep him in a state of servitude. His personality reflected the contradictions of the new social order which he had helped to establish.

Domestic bliss, or technological diss? Problematic media use, partner responsiveness, and relationship outcomes

The purpose of this study was to examine how problematic media use (technoference, internet gaming disorder symptoms, and pornography use) predicted later partner relationship outcomes, operating through the mediator of partner responsiveness. Participants ( N = 1039) were from Waves II–IV of a nationally representative quantitative study on marriage relationships across the United States. Both spouses completed surveys reporting problematic media use, partner responsiveness, and relationship outcomes at three separate time points each spaced a year apart. In order to test the hypotheses, three longitudinal actor-partner interdependence models with indirect paths were estimated, with each model corresponding to one type of problematic media use. Results indicated that at the cross-sectional level, all three types of problematic media use had significant indirect actor and partner effects, where problematic media use predicted lower relationship outcomes through the intervening variable of partner non-responsiveness. Longitudinally, wife technoference directly negatively predicted later partner responsiveness, but there were no full indirect paths of Wave II problematic media to Wave IV relationship outcomes through the intervening variable of Wave III partner responsiveness. Implications of these findings and future directions are discussed.