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"Tate, David C"
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The Influence of Personality Disorder Indication, Social Support, and Grief on Alcohol and Cocaine Use among HIV-Positive Adults Coping with AIDS-Related Bereavement
Substance use is prevalent among HIV-positive adults and linked to a number of adverse health consequences; however little is known about risk and protective factors that influence substance use among HIV-positive adults coping with AIDS-related bereavement. Using structural equation modeling (SEM), male gender, diagnostic indications of antisocial and borderline personality disorders (PD), and grief severity were tested as risk factors, and social support as a protective factor, for alcohol and cocaine use among a diverse sample of 268 HIV-positive adults enrolled in an intervention for AIDS-related bereavement. Results indicated that the hypothesized model fit the study data. Male gender, PD indication, and social support had direct effects on substance use. PD had significant indirect effects on both alcohol and cocaine use, mediated by social support, but not by grief. Finally, both PD and social support had significant, but opposite, effects on grief. Implications for intervention and prevention efforts are discussed.
Journal Article
The Role of Coping and Problem Drinking in Men's Abuse of Female Partners: Test of a Path Model
This article examines the relationship of coping and problem drinking to men's abusive behavior towards female partners. While previous research has demonstrated a consistent association between problem drinking and male abuse of intimate partners, virtually no studies have assessed the role of coping in relation to men's violence. Furthermore, multivariate studies have not examined how these factors operate together to increase risk for abusive behavior. An ethnically diverse sample of 147 men in a court-mandated program for domestic violence offenders completed questionnaires at the first session. Path modeling was conducted to test the extent to which coping and problem drinking predicted both physical and psychological abuse. In addition, the relationships of problem drinking and physical abuse to injury of the men's female partners were examined. Results indicated that both the use of avoidance and problem-solving coping to deal with relationship problems were related indirectly to abusive behavior through problem drinking. Greater use of avoidance coping strategies was more likely among problem drinkers. By contrast, men who used higher levels of problem-solving coping were less likely to be problem drinkers. Avoidance, but not problem-solving coping also was directly and positively related to physical and psychological abuse. Men identified as problem drinkers were more likely to use both physical and psychological abuse. Finally, greater use of physical violence was strongly related to higher levels of injury among female partners, and served to mediate the relationship between problem drinking and injury. Results are discussed in terms of their contribution to the identification of risk and protective factors for men's violent behavior toward intimate female partners and implications for developing intervention strategies.
Journal Article
Race, social support, and coping strategies among HIV-positive gay and bisexual men
Few studies have examined the relation between race, social support, and coping, particularly among HIV-infected individuals. We examined the relation of race and social support to coping with HIV infection in a sample of 121 gay and bisexual men (64 African American, 57 White). Compared to White participants, African Americans reported higher use of multiple coping strategies. High levels of perceived social support were related to greater use of positive coping and seeking support; lower levels of social support were related to greater use of self-destructive coping. There were no race-related differences in social support, and no race by social support interactions. Possible explanations for observed cultural differences and coping challenges of African American gay and bisexual men with HIV are discussed.
Journal Article
The Clinical Significance of Change in Trauma-Related Symptoms Following a Pilot Group Intervention for Coping with HIV–AIDS and Childhood Sexual Trauma
The association between sexual abuse and HIV risk is well documented, yet little empirical data exists on treatment approaches integrating the psychological impact of sexual abuse and HIV disease. This study examined the clinical significance of change on sexual-trauma-related stress following a coping group intervention study among 28 women and men with HIV-AIDS and a history of childhood sexual abuse. More than 75% of participants showed improvement on 1 or more subscales of the Trauma Symptom Inventory, with the majority of improvements within domains related to trauma symptoms and behavioral difficulties. Most observed gains were modest, but are considered meaningful in the context of stressors encountered by this disenfranchised sample, which was diverse with respect to race, sexual orientation, and psychiatric comorbidity. These preliminary findings support the need for the conduct of research trials to identify mental health and secondary prevention intervention models that can assist those with HIV-AIDS who have experienced childhood sexual abuse.
Journal Article
Optimism and Coping with Loss in Bereaved Hiv–Infected Men and Women
Bereavement due to AIDS-related loss is a severe stressor, particularly for those who are themselves HIV-infected. Previous research investigating copingwith loss has overlooked the effects of positive psychological states, such as optimism or hopefulness, and has focused instead upon negative coping outcomes, particularly psychological distress. Using an ethnically diverse cohort of 172 men and 92 women suffering from the combined stressors of HIV infection and loss of loved ones to HIV/AIDS, we tested the hypotheses that active coping strategies are predictive of optimism and high levels of hope, and that avoidant coping strategies are predictive of pessimism and hopelessness. Hierarchical multiple regression analyses revealed that active coping was positively associated with optimism and negatively associated with hopelessness, and avoidant coping was negatively associated with optimism and positively associated with hopelessness. Regression analyses also showed that both depression and social support were significant predictors in the final models. Implications for improving the targeting and tailoring of interventions designed to improve coping and to reduce distress following bereavement are discussed. [PUBLICATION ABSTRACT]
Journal Article
The Role of Coping and Problem Drinking in Men's Abuse of Female Partners: Test of a Path Model
This article examines the relationship of coping and problem drinking to men's abusive behavior towards female partners. While previous research has demonstrated a consistent association between problem drinking and male abuse of intimate partners, virtually no studies have assessed the role of coping in relation to men's violence. Furthermore, multivariate studies have not examined how these factors operate together to increase risk for abusive behavior. An ethnically diverse sample of 147 men in a court-mandated program for domestic violence offenders completed questionnaires at the first session. Path modeling was conducted to test the extent to which coping and problem drinking predicted both physical and psychological abuse. In addition, the relationships of problem drinking and physical abuse to injury of the men's female partners were examined. Results indicated that both the use of avoidance and problem-solving coping to deal with relationship problems were related indirectly to abusive behavior through problem drinking. Greater use of avoidance coping strategies was more likely among problem drinkers. By contrast, men who used higher levels of problem-solving coping were less likely to be problem drinkers. Avoidance, but not problem-solving coping also was directly and positively related to physical and psychological abuse. Men identified as problem drinkers were more likely to use both physical and psychological abuse. Finally, greater use of physical violence was strongly related to higher levels of injury among female partners, and served to mediate the relationship between problem drinking and injury. Results are discussed in terms of their contribution to the identification of risk and protective factors for men's violent behavior toward intimate female partners and implications for developing intervention strategies. [PUBLICATION ABSTRACT]
Journal Article
Helminth Parasites of Native Hawaiian Freshwater Fishes: An Example of Extreme Ecological Isolation
The Hawaiian Islands harbor a depauperate native freshwater fish fauna comprised of 4 endemic gobies (Gobiidae) and 1 endemic sleeper (Eleotridae). We hypothesized that the natural helminth parasite community of these stream fishes would be depauperate because of colonizing constraints. In the absence of exotic fishes, native fishes in streams of Hanakāaplī'ai and Nu'alolo valleys harbored no adult helminth parasites. In Hakalau Stream on Hawai'i and Wainiha River on Kaua'i, we found introduced swordtails and guppies (Poeciliidae); here, the native gobioid fishes shared species of helminths with poeciliids. They were the nematode Camallanus cotti, the Asian tapeworm Bothriocephalus acheilognathi, and the leech Myzobdella lugubris. Such parasitological data should be incorporated into management plans for the conservation of native Hawaiian stream fishes as these parasites have been previously demonstrated to cause disease.
Journal Article
Mental Health and Rehabilitative Services in Juvenile Justice
This chapter considers mental health and rehabilitative services in juvenile justice. It first discuss reforms in, and changing conceptualizations of, the children’s mental health and juvenile justice systems, before reviewing recent innovations in the delivery of mental health services within the juvenile justice system that have occurred in response to these reforms. It concludes with a discussion of the implications of these systems reforms and innovative treatment approaches for service delivery.
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