IU Indianapolis ScholarWorks :: Browsing by Author "McGrew, John H., 1953-"

Browsing by Author "McGrew, John H., 1953-"

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Development and preliminary validation of the romantic relationship functioning scale
(2014) Bonfils, Kelsey A.; Salyers, Michelle P.; Minor, Kyle S.; McGrew, John H., 1953-; Grahame, Nicholas J.
Background: Research has repeatedly shown that individuals with severe mental illness desire interpersonal and romantic relationships and that social support (including spousal relationships) is beneficial. In addition, social deficits in mental disorders can often get in the way of developing fulfilling relationships. However, there is little currently available to help clinicians and researchers assess romantic relationship functioning in those with mental illness. The aim of this pilot study was to examine reliability and validity of a new measure of functioning in romantic relationships, the Romantic Relationship Functioning Scale (RRFS). Method: The RRFS was constructed based on theory proposed by Redmond, Larkin, and Harrop (2010). In an analog study, we tested the measure in a sample of college students (N=387), examining reliability, stability over time, factor structure, and relationships with measures of psychopathology and related measures of social functioning to assess convergent validity. Results: The RRFS exhibited a hierarchical four-factor structure, supporting the use of a total score. Although subscales were supported in the factor analysis, other psychometric evidence was weaker, and the use of a total score is advocated. Internal consistency and test-retest reliability were acceptable for the total scale (>.8). The RRFS had moderate to large correlations in the expected direction with all psychopathology measures. In predictive models, overall mental health, social functioning, and fewer interpersonal difficulties predicted higher romantic relationship functioning. Conclusions: The RRFS total score shows preliminary evidence of reliability and validity. The RRFS has potential to be of use in treatment centers for undergraduates and for individuals with diagnosed mental disorders. Future research should further investigate the RRFS subscales and the measure’s performance in clinical samples.
Differential Relationships of Hope and Optimism with Adjustment in Breast Cancer Patients
(2012-03-20) Rock, Emily E.; Rand, Kevin L.; Stewart, Jesse C.; McGrew, John H., 1953-
Psychological and marital adjustment are two important outcomes for patients with breast cancer. Personality traits, such as hope and optimism, may influence adjustment to adversity. It was hypothesized that patient and partner hope and optimism would differentially predict patient marital and psychological adjustment. Measured variable path analysis with 56 patient-partner dyads found that patient and partner hope equally predict patient marital adjustment, while there was a trend for patient optimism predicting patient psychological adjustment. These results suggest that hope and optimism differentially predict adjustment outcomes, and that the partner also has a role in the patients’ adjustment. Regression analyses were used to examine the hypothesis that discrepancies in patient and partner personality would result in maladjustment. No interaction effects were found predicting patient psychological adjustment. Three out of six interactions were found for patient marital adjustment. These analyses suggest that complementary personality styles among couples coping with breast cancer may result in optimal patient marital adjustment.
The empathizing-systemizing theory and adolescents with autism spectrum conditions
(2013-08-29) Williams, Carrie; McGrew, John H., 1953-; Johnson, Kathy E.; Stewart, Jesse C.; Rand, Kevin L.; Hazer, John
The empathizing-systemizing (E-S) theory states that individuals with autism spectrum conditions (ASC) can be identified by a deficit in empathy (social skills, communication skills, and theory of mind) and a propensity for systemizing (islets of ability, obsessions with systems, and repetitive behavior). This theory has been tested in various contexts, but never with adolescents between the ages of 12 and 16. The EQ-A (Empathizing Quotient for Adolescents) and the SQ-A (Systemizing Quotient for Adolescents) were administered to 47 adolescents between the ages of 12 and 16 who had been diagnosed with ASC and 97 adolescents with no reported physical or mental disorders to discover differences in empathizing and systemizing. To test the specific elements and predictions of the E-S theory, the EQ-A was divided into a set of three subscales derived by conceptually mapping items to factors corresponding to the concepts theoretically underlying the scale. The SQ-A was divided into subscales using factor analysis. It was found that all four subscales resulting from the factor analysis on the SQ-A were associated with obsessions with systems. A weak positive correlation was found between the SQ-A and the EQ-A. Although the EQ-A was able to differentiate significantly between individuals with an ASC and those without, the SQ-A was not. In addition, although the EQ-A and EQ-A subscales scores correlated with similar subscales scores of the GARS-2 (a well-validated existing autism screening test), the SQ-A and its subscales did not. Implications for the E-S Theory are discussed.
Employment specialists' competencies as predictors of employment outcomes.
(2010-05-25T20:16:20Z) Taylor, Amanda Christine; Bond, Gary R.; McGrew, John H., 1953-; Rand, Kevin; Devine, Dennis J. (Dennis John)
Employment specialist competencies were examined as predictors of employment outcomes for consumers with severe mental illness participating in supported employment. Using a cross-sectional correlational design a variety of self-report and supervisor-rated performance measures were examined for their association with three consumer employment outcomes (e.g., the percentage of consumers on an employment specialist's caseload that were competitively employed, the percentage of consumers on an employment specialist's caseload that were employed 90 consecutive days, and the rate in which consumers dropped out of employment services). Six mental health agencies with a total of 57 employment specialists and 14 supervisors from across the nation participated in the study. Competitive employment rates ranged among employment specialists from 0% to 80%. Higher supervisor-rated job performance, supervisor-rated employment specialist efficacy, percentage of work time spent in the community during the past month, and number of contacts with consumers during the past month were related to improved consumer employment outcomes. However, employment specialist attitudes, knowledge of supported employment, conscientiousness, and self-efficacy were unrelated to employment outcomes. This study is one of the first of its kind to examine employment specialist competencies as they relate to supported employment for consumers with severe mental illness. While supported employment is a great improvement over traditional vocational programs, further examination of employment specialist competencies could hold the key to unlocking employment success for many more consumers.
Essential components of early intevention programs for psychosis: a qualitative study of available services in the United States
(2014-12) White, Dominique A.; Salyers, Michelle P.; McGuire, Alan B.; McGrew, John H., 1953-; Minor, Kyle S.
Programs providing interventions for early psychosis are becoming commonplace in the United States (US); however the terrain of existing services within programs remains undocumented. Unlike other countries, the US does not have a systematic approach to defining and treating this population. We examined program characteristics, clinical services, and treatment population parameters for early intervention programs across the US. A semi-structured telephone interview was conducted with program directors between July 2013 and April 2014. Content analysis was used to identify the presence or absence of 32 evidenced based practices recently recommended for early intervention programs (Addington, et al., 2013). Frequent client requests were identified and functional definitions of the population served were assessed. A total of 34 eligible programs were identified; 31 (91.2%) program representatives agreed to be interviewed. Of the 32 essential components, the most prevalent were individual psychoeducation and outcomes tracking; the least prevalent were outreach services and communication with inpatient units. The population was most frequently defined by age restrictions, and restrictions on the duration of psychosis. Emergent themes of client requests included functional and social recovery as well as help meeting practical needs. Findings have the ability to assist researchers and policy-makers in determining best practice models and creating measures of fidelity. This study provides critical feedback on services for the early psychosis population and identifies research to practice gaps and areas for improvement moving forward.
Evaluating the Effects of NAMI's Consumer Presentation Entitled In Our Own Voice
(2013-07-12) Brennan, Madeline; McGrew, John H., 1953-; Ashburn-Nardo, Leslie; Salyers, Michelle P.; Rand, Kevin L.
Research suggests that misperceptions about the mentally ill and about their ability to recover and live productive lives are still commonly held by the public. Psychoeducation programs and direct contact can help both correct misperceptions and offer encouraging messages about recovery in those with and without mental illness. Consumer presentation programs, such as NAMI’s In Our Own Voice (IOOV), were designed in part for these purposes. This study examined archival IOOV audience evaluations (n = 599) from 2009 to better understand how audiences respond to IOOV in natural settings. Qualitative and quantitative analyses were conducted to examine: 1) viewers’ responses to the program, 2) differences between consumer and nonconsumer responses, and 3) whether the program satisfies program goals for audience members. Results indicate that the majority of viewers respond positively, in a variety of ways and to a variety of program elements not previously identified. Additionally, the program’s effects appear to generalize across consumers and nonconsumers equally well, with the exception that nonconsumers more frequently reported finding the program educational and consumers more frequently reported personally relating to presenters. Finally, results suggest that IOOV is indeed meeting its two stated program goals for audience members: educating the public and offering a hope-inspiring message of recovery. In conclusion, IOOV, as it is performed in the field, appears to be a valuable addition to educational and inspiring recovery-oriented programming available to the public.
How does emotionality affect memory in children with autism?
(2014-08-26) Meints, Samantha Marie; McGrew, John H., 1953-; Cyders, Melissa A.; Johnson, Kathy E.; Grahame, Nicholas J.
The purpose of the current study was to investigate the impact of emotionality on the memory of children with an autism spectrum disorder. Although emotional events enhance memory in adults and children without an autism spectrum disorder, there are different memory patterns among individuals on the autism spectrum. Specifically, individuals with autism may show a decreased advantage in memory for emotional content and may have deficits in memory for information that is not presented visually. Currently, however, there are no studies that look at how emotional content affects memory specifically in children with autism. In the current study, children with and without autism were presented with stimuli contrasting emotional and neutral content using one of two modalities, auditory and visual, and then completed memory recognition tasks for the stimuli. Results indicate that children with an autism spectrum disorder did not demonstrate enhanced memory for emotional information. Rather, they were equally able to remember emotional and neutral stimuli. Additionally, individuals on the spectrum demonstrated better memory for visual stimuli compared to their neurotypical peers. These results support the notion that individuals with an autism spectrum disorder may learn and remember material differently than those without the disorder and that educators need to acknowledge these differences as children with autism spectrum disorders continue to be integrated into classroom settings.
Implicit Stigma of Mental Illness: Attitudes in an Evidence-Based Practice
(2012-08-07) Stull, Laura Grace; McGrew, John H., 1953-; Salyers, Michelle P.; Rand, Kevin L.; Ashburn-Nardo, Leslie; Williams, Jane R.
Stigma is a barrier to recovery for people with mental illness. Problematically, stigma also has been documented among mental health practitioners. To date, however, most research has focused on explicit attitudes regarding mental illness. Little research has examined implicit attitudes, which has the potential to reveal evaluations residing outside of conscious control or awareness. Moreover, research has tended to use a mixed sample of practitioners and programs. The extent to which both explicit and implicit stigma is endorsed by mental health practitioners utilizing evidence-based practices is unknown. The purposes of the current study were to 1) carefully examine implicit and explicit stigmatizing attitudes, or biases, among Assertive Community Treatment (ACT) staff and 2) explore the extent to which explicit and implicit biases predicted the use of treatment control mechanisms. Participants were 154 ACT staff from nine states. They completed implicit (Implicit Association Test) and explicit measures of stigma. Overall, participants exhibited positive explicit and implicit attitudes towards people with mental illness. When modeled using latent factors, implicit, but not explicit bias significantly predicted the endorsement of restrictive or controlling clinical interventions. Practitioners who perceived individuals with mental illness as relatively more dangerous and helpless (both explicit and implicit), as well as participants from Indiana and those with less education were more likely to endorse use of control mechanisms. Thus, despite overall positive attitudes toward those with mental illness for the sample as a whole, even low levels of stigma at the individual level were found to affect clinical care. Mental health professionals, and specifically ACT clinicians, should work to be aware of ways in which their biases influence how they intervene with consumers.
Parents Served by Assertive Community Treatment: A Needs Based Assessment
(2013-08-29) White, Laura Morgan; McGrew, John H., 1953-; Salyers, Michelle P.; Rollins, Angela; Hazer, John
Assertive Community Treatment (ACT) represents an effective treatment for individuals with severe mental illness. Though studies estimate that as many as half of all people with severe mental illness are parents, little is known about consumers receiving ACT services who are parents. Thus, the purpose of the present study was to 1) estimate the prevalence of parent ACT consumers, 2) identify current ACT team policies and practices for treating parent consumers, and 3) examine the perspective of parent consumers served by ACT teams. Quantitative and qualitative data were collected and analyzed via two separate studies. In study 1, eighty-two ACT providers from 76 teams across the United States and Canada were surveyed to determine the prevalence of parent ACT consumers, ACT team policies for identifying the parental status of consumers, treatment services available for parent consumers, and provider attitudes about parent consumers. Providers estimated roughly 21.6% of ACT consumers were parents. Less than half of providers (46.3%) reported formally asking about parental status during intake and only 20.7% providers belonged to ACT teams that provide special programs/services designed for parent consumers. The majority of providers (75.6%) reported negative or mixed attitudes about parents with severe mental illness. In study 2, seventeen parents with severe mental illness being served by ACT teams were interviewed about parenting, the relationship between parenting and severe mental illness, parenting needs, and suggestions for improved treatment services for parents. All parents were able to identify at least one positive aspect of parenting and most parents (76.5%) also identified negative aspects of parenting. Loss of custody emerged as a significant parenting problem, with the majority of parents (88.2%) experiencing loss of custody at least once. Given the difficulties of being a parent and having to manage a severe mental illness, parents expressed interest in several parent-focused treatment services, including family therapy, parenting skills, communication skills training, resources/finances for children, and social support groups with peers. When asked about overall satisfaction with ACT services, most participants with adult children (87.5%) reported having no unmet parent-related needs and high satisfaction (4.63 out of 5) with ACT services, whereas parents with young children (77.8%) reported having numerous unmet parenting needs and low satisfaction (3.78 out of 5) with ACT services. Thus, the age of participants’ children was a significant factor, indicating that the ACT treatment model may not be adequately serving parents of young, dependent children. Overall, findings suggest the need for more attention and focus on parent consumers, including formal identification of consumers’ parental status and improved parent-related treatment services and support
The psychosocial outcomes of adult siblings of adults with autism and Down syndrome
(2014-07-31) Belkin, Teri; McGrew, John H., 1953-; Mosher, Catherine E.; Johnson, Kathy E.; Grahame, Nicholas J.
Little is known regarding the psychosocial outcomes of adult siblings of adults with autism. Accordingly, the current study sought to: (1) illuminate factors that predict health-related quality of life, caregiver burden, and reported benefits in adult siblings of adults with autism, using a stress and coping framework and (2) compare outcomes of siblings of adults with autism (n = 31) to siblings of adults with Down syndrome (DS) (n = 54). For the within subject hypotheses, analyses were repeated within the DS group and an overall Disability group (n = 97). The Disability group consisted of participants in the Autism and Down syndrome groups plus twelve individuals in a mixed group of adult siblings of adults with DS who presented with co-morbid symptoms of autism. Variables were organized using The Adult Sibling Caregiver Conceptual Model (ASCCM) into three categories: antecedents (e.g., sibling relationship quality, problem behaviors of the disabled sibling), mediators (e.g., coping strategies, cognitive appraisal types), and psychosocial outcome variables (i.e., mental and physical health-related quality of life, caregiver burden, and reported benefits). For the within subject primary hypotheses, I posited a series of relationships between the antecedents and outcomes based on prior literature on demographic and individual difference predictors (e.g., siblings of adults with autism with fewer problem behaviors would have increased health-related quality of life [HRQOL], decreased caregiver burden, and increased reported benefits) and on stress and coping factors related to the burden of providing care for an individual with autism (e.g., greater use of avoidant coping strategies would be related to lower HRQOL, increased caregiver burden, and decreased reports of benefits). Exploratory hypotheses also were examined (e.g., being married would be associated with increased HRQOL, decreased burden, and increased reported benefits). The within-subject results indicated support for eight of the ten primary hypotheses and five of the six exploratory hypotheses when examined within at least one of the study groups: Autism, DS, or Disability. Overall, sibling caregivers, regardless of their sibling’s disability, reported more favorable psychosocial outcomes when demands were lower (e.g., less severe levels of problem behaviors, fewer autism symptoms exhibited by their disabled sibling, decreased additional pile-up stress), when resources were available to cope with stress (e.g., social support, respite care), and when healthy responses to stress were reported (e.g., use of emotion focused vs. avoidant coping strategies, use of challenge vs. threat appraisal types). Of note, reported benefits, which have rarely been examined in the autism literature, were strongly related to the quality of a sibling relationship across all study groups, and with the helpfulness of received services and perceived social support within the Autism group. The between subject hypotheses also were largely supported. As expected, compared to siblings of those with Down syndrome, siblings of those with autism demonstrated greater levels of caregiver burden and lower mental HRQOL. Moreover, there was a rank ordering in levels of caregiver burden across disability groups; siblings of adults with DS reported the lowest burden, siblings of adults with DS with symptoms of autism reported significantly higher levels of burden, and siblings of those with autism reported the most burden. The results imply that autism, either alone or co-morbid with another diagnosis, presents an increased risk of stress and caregiver burden, not only in parent caregivers, but also in sibling caregivers. Interestingly, there was also evidence for higher levels of stress related growth within the Autism group compared to the DS group. Future research will be needed to generalize the results of this study to broader samples of adult siblings while taking a life course perspective to assess changes in non-disabled siblings’ outcomes over time.

Browsing by Author "McGrew, John H., 1953-"

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