Browsing by Author "Young, Jennnifer Louise"
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Item Comparing Members of Interracial and Same-Race Clinical Couples: Conflict and Steps Toward Leaving the Relationship(2014) Young, Jennnifer Louise; Epstein, Norman B; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Past research on marital divorce rates indicates that interracial couples are more likely to divorce than same-race couples. There has been speculation that this higher rate of relationship dissolution stems from larger differences in partners' backgrounds, values, and culture. These differences may contribute to higher levels of conflict in interracial relationships. The present study compared conflict levels reported by members of interracial and same-race couples in a clinical sample, using secondary data from couples receiving treatment at the Center for Healthy Families, a clinic at the University of Maryland, College Park. Members of interracial couples reported higher overall conflict, and higher conflict in specific areas, as well as more steps taken toward leaving their relationships than those in same-race couples. Higher conflict mediated group differences in steps taken to leave the relationship. Constructive couple communication did not moderate the association between couple type and level of conflict.Item Couples Coping with Li-Fraumeni Syndrome: A Mixed-Methods Study of Family Strengths(2018) Young, Jennnifer Louise; Epstein, Norman B; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Using mixed methodology involving qualitative and quantitative data, this dissertation fills gaps in knowledge regarding psychosocial implications for families living with the genetically-transmitted Li-Fraumeni cancer susceptibility syndrome, specifically targeting couple dyads. An initial review of the existing literature on couples coping with heritable cancer syndromes identified gaps in knowledge, and pointed to future directions for research in this area. The three papers that comprise this dissertation provide multiple perspectives on the levels of distress, coping styles, and social support patterns of couples in which one partner is at high risk of cancer. The first paper investigates spousal distress and coping styles in relation to cancer worry for individuals with Li-Fraumeni Syndrome, using quantitative data from one of the largest existing collections of Li-Fraumeni Syndrome cases. The second paper identifies couples’ coping and communication processes regarding cancer stressors, using semi-structured qualitative interviews of individuals with Li-Fraumeni Syndrome and their partners. The third paper utilizes a social network approach to illustrate shared patterns of emotional, tangible, and informational support that couples report accessing. The integrated findings from these three studies indicate that these subjects are low in general distress but high in cancer-specific worry. Couples cope with this worry by balancing multiple roles, exercising flexibility in family dynamics, and utilizing extensive social support networks. This research provides significant information that can aid in development of effective interventions for couples as they face their ongoing threat of cancer. Recommendations for clinical work with this population include an integrated blend of couple therapy, genetic counseling, and oncology practice that is sensitive to the unique needs of individuals with heritable cancer syndromes and their partners.