The Cross-Cultural Validity of the MMPI-2-RF Higher-Order Scales in a Sample of North Korean Female Refugees.

We investigated the cross-cultural factorial validity of the three Higher-Order (H-O) scales in the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) among a sample of North Korean female refugees (N = 2,732). Given the importance of the H-O scales in the overall structure of the MMPI-2-RF scales and in interpretation, we were interested in exploring their cross-cultural validity. We conducted an exploratory factor analysis (EFA) on the nine Restructured Clinical (RC) scale raw scores and fitted and compared one- to three-factor models. The three-factor model, akin to the model in Tellegen and Ben-Porath, demonstrated the best fit to the data. Furthermore, the pattern matrices of loadings across the current sample and the U.S. samples were comparable despite some differences, such as the RC2 scale's salient, negative loading on a factor analogous to the Behavioral/Externalizing Dysfunction scale. We also investigated the unique psychological characteristics of the refugees, possibly resulting from the arduous, perilous journeys out of North Korea taken by this group of female refugees and discussed the results of EFA in light of those singular psychological traits and experiences. Overall, the three H-O scales of the Korean MMPI-2-RF evidenced reasonable cross-cultural factorial validity among the sample of North Korean female refugees.

Sexual minority women's experiences of sexual pressure: a qualitative investigation of recipients' and initiators' reports.

Sexual pressure can have detrimental effects to individuals both physically and emotionally; however, research in this area is lacking regarding the experiences by lesbian, gay, bisexual, queer, and questioning (LGBQ) women. This online study qualitatively examined sexual pressure experienced and explained by LGBQ women (n = 50) using grounded theory methodology. Participants responded to open-ended questions by providing perspectives from both those who were on the receiving end of the sexual pressure (recipients) and from those who pressured their partners (initiators). Results indicated that there were eight overarching themes, 43 higher order categories, and 241 line-by-line codes. The eight overarching themes included: Reasons to Not Want Sex, Reasons for Pressuring, Reasons for Giving In, Actions of Initiators, Expectations, Communication, Negative Outcomes, and Positive Reactions. Negative Outcomes was the most common theme endorsed. Several higher order categories indicated the unique experiences of sexual minority women, namely trying to be "normal" (e.g., engaging in sexual acts as a result of internalized homophobia), experiencing more pressure from men, and self-consciousness (specifically related to lack of knowledge about sex with women). Implications for the current study include the importance of addressing sexual pressure with sexual minority women and creating interventions, such as assertiveness training and communication skills, that could assist both recipients and initiators with engaging in mutually satisfactory sexual practices.

Internalized homophobia and adult attachment: Implications for clinical practice.

Two hundred eighty-six men and women who identified as lesbian, gay, or bisexual (LGB) were surveyed using measures of attachment, internalized homophobia, shame, and guilt. Results indicated that secure attachment was negatively correlated with internalized homophobia, shame, and guilt. Fearful and preoccupied attachments were positively correlated with these constructs, accounting for 36.9% of the variance in scores. Results are discussed in terms of the therapeutic relationship, with the therapist serving as a secure base for LGB clients working through issues of internalized homophobia and social isolation. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

Social risk and protective factors for suicide attempts in low income African American men and women.

A case-control study was conducted to examine a broad array of potential social risk and protective factors for suicide attempt among 200 African American men and women receiving care at a large, public, urban hospital. Specifically, we examined the effect of the following potential risk factors for suicide attempt: life hassles, partner abuse, partner dissatisfaction, and racist events; as well as the following potential protective factors: effectiveness of obtaining resources, social embeddedness, and social support. Using logistic regression, suicide attempter status was predicted by two independently significant social variables: one risk factor (life hassles) and one protective factor (social support). Male versus female suicide attempters were not distinguished by the social variables. These findings, which support the utility of an ecological conceptualization of risk and protective factors for suicide attempt, help to clarify the independently significant social environment risk and protective factors for suicide attempts among economically disadvantaged African Americans in particular. Research on both risk factors and protective factors provide a basis for culturally competent interventions aimed at reducing both the risk of future suicide attempts and completions.

Posttraumatic stress disorder among African Americans in an inner city mental health clinic.

This study examined 184 African-American outpatients in a mental health clinic in the inner city to define the rate of occurrence of traumatic experience and posttraumatic stress disorder (PTSD). This population experienced a high rate of severe trauma. Forty-three percent were found to have PTSD, as measured by the PTSD Symptom Scale. Finally, a chart review of 72 participants found that only 11 percent of participants who met DSM-IV criteria for PTSD also had a chart diagnosis of PTSD. PTSD is a common yet underrecognized and undertreated source of psychiatric morbidity in this urban community of African Americans with low socioeconomic status.

Conducting and interpreting canonical correlation analysis in personality research: a user-friendly primer.

The purpose of this article is to reduce potential statistical barriers and open doors to canonical correlation analysis (CCA) for applied behavioral scientists and personality researchers. CCA was selected for discussion, as it represents the highest level of the general linear model (GLM) and can be rather easily conceptualized as a method closely linked with the more widely understood Pearson r correlation coefficient. An understanding of CCA can lead to a more global appreciation of other univariate and multivariate methods in the GLM. We attempt to demonstrate CCA with basic language, using technical terminology only when necessary for understanding and use of the method. We present an entire example of a CCA analysis using SPSS (Version 11.0) with personality data.

Person factors associated with suicidal behavior among African American women and men.

This study compared person risk factors among the following groups of low-income, African American adults in an urban, public hospital: (a) suicide attempters and nonattempters, (b) male and female attempters, and (c) all 4 groups (50 female attempters, 50 female nonattempters, 50 male attempters, and 50 male nonattempters). Participants completed psychological distress, aggression, substance use, cognitive processes, religiosity/spirituality, and ethnic identity measures. Compared with nonattempters, attempters reported more psychological distress, aggression, substance use, and maladaptive coping strategies; less religiosity/spirituality; and lower levels of ethnic identity. Male attempters endorsed more substance use than female attempters. No person risk factors differentiated among the 4 groups. Assessment of person risk factors and implementation of commensurate culturally competent interventions are recommended.

Evaluating the appropriateness of college-age norms for use with adolescents on the NEO personality inventory-revised.

The NEO Personality Inventory-Revised (NEO PI-R) measures normal personality characteristics and has demonstrated appropriate score reliability and validity. It is normed for two groups of individuals, college-age individuals 17 to 20 years old and adults 21 and older. Often, personality instruments normed on older individuals have been used with adolescent populations. To examine the appropriateness of this decision, the current study explored the differences between an adolescent sample (n = 79) and a college-age sample (n = 80) on the 30 facets and the five domains of the NEO PI-R. Group differences on the facet and domain scales were analyzed using descriptive discriminant analysis. Results indicated that the adolescent and college groups differed on each of the five domains. As expected, the groups also scored differently using the aggregated domain-level variables as the outcome measures. Suggestions for future research include the development of normative data for the adolescent population.