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Peer victimization and relationships to approach and avoidance coping to health and health behaviors

Darabos, Katie; Mazza, Mary Carol; Somers, Jennifer; Song, Anna V; Hoyt, Michael A
Peer victimization during high school is a common experience associated with engagement in risky health behaviors and elevated depressive symptoms. Mechanisms linking peer victimization to health outcomes remain inadequately understood. In the current study, latent class analysis was used to identify latent subclasses of college students who display similar patterns of responses to frequent peer victimization experiences during high school. We also examined moderating and mediating effects of coping (approach/avoidance) on relationships between victimization class and health outcomes (i.e., binge drinking, current smoking, depressive symptoms). College students completed questionnaire measures of peer victimization, approach and avoidance coping, binge drinking, smoking, and depressive symptoms. Four distinct patterns of peer victimization were identified among college students (Low, High, Moderate, and Social/Verbal). Moderation models revealed significant interactions of moderate victimization x approach coping on depressive symptoms and high victimization x avoidance coping on binge drinking. Mediation models revealed a significant indirect effect of avoidance coping on depressive symptoms for those in the high victimization class. Findings provide a greater understanding of the complex patterns of peer victimization. Coping efforts among varying peer victimization classes had different relationships with health outcomes during the college years. Interventions aimed at reducing health-risk and depressive symptoms among college student might benefit from increased attention to high school victimization experiences and current coping processes.Supplemental data for this article is available online at .
PMID: 34288828
ISSN: 0896-4289
CID: 5005742

Sleep Quality in Young Adult Informal Caregivers: Understanding Psychological and Biological Processes

Hoyt, Michael A; Mazza, Mary Carol; Ahmad, Zeba; Darabos, Katie; Applebaum, Allison J
BACKGROUND:Providing informal care for a relative or friend with medical or mental needs can extol a physical burden on the caregiver, including impaired aspects of sleep quality such as suboptimal sleep duration, lengthened sleep latency, frequent awakenings, daytime sleepiness, and poor self-rated sleep quality. Diminished sleep quality can worsen the health in the caregiver, including dysregulation of hypothalamic-pituitary-adrenal axis (HPA) activity. Few studies have attempted to describe sleep in young adults who provide regular informal care. This study examines subjective and objective indicators of sleep quality and diurnal cortisol rhythms among young adult caregivers relative to non-caregiving peers. We expect that caregivers will exhibit poorer objective and subjective sleep quality and greater dysregulation in diurnal cortisol indices, than demographically similar non-caregivers, and that caregivers with poorer sleep will exhibit pronounced cortisol dysregulation. METHODS:Participant self-reported sleep quality over the prior month via the Pittsburgh Sleep Quality Index and objective sleep quality was observed via wrist actigraph for three consecutive days. Diurnal salivary cortisol was also measured across the three days of actigraph monitoring. RESULTS:Informal caregivers exhibited more self-reported sleep disturbance and greater sleep latency than non-caregivers, as well as more objectively measured sleep fragmentation. Caregivers with a shorter sleep duration were observed to have flatter diurnal cortisol slopes than caregivers with a relatively longer sleep duration. CONCLUSIONS:Young adult caregivers appear to be at risk for impairment in sleep quality, which in turn might impact health through HPA axis dysregulation. Longitudinal research is needed to identify these relationships across time.
PMID: 31900866
ISSN: 1532-7558
CID: 4418582

The experience of financial stress among emerging adult cancer survivors

Gupta, Sugandha K; Mazza, Mary Carol; Hoyt, Michael A; Revenson, Tracey A
Objective: The experience of cancer-related financial stress was examined within the developmental context of emerging adulthood.Methodological approach: This study is a secondary analysis of data drawn from two samples of testicular or hematologic cancer survivors. In-depth interviews from 52 emerging adult (EA) cancer survivors, ages 18-29, were coded by combining thematic analysis with an abductive approach.Findings: Emergent themes included some common to most age groups, including worries about medical costs and availability of health insurance, as well as specific age-related concerns, such as fertility preservation. Financial stress appeared to interrupt developmental tasks of emerging adulthood, including completing an education, establishing independence, and managing relationships. Surprisingly, financial stress was experienced as a benefit for some participants.Conclusion: Financial stress affects EA cancer survivors in unique ways. To provide support, health professionals should consider survivors' developmental life stage to understand their financial stress, and ultimately, to improve quality of life.
PMID: 31983313
ISSN: 1540-7586
CID: 4418592

"Survivorship - It's No Pretty Pink Ribbon": Lesbians' decision-making about breast reconstruction [Meeting Abstract]

Rubin, Lisa; Mazza, Mary Carol; Guerrero, Rachel; Trompeter, Julie
ISSN: 1057-9249
CID: 3107192

Black breast cancer survivors: Language use about breast reconstruction [Meeting Abstract]

Turner, Gina; Rubin, Lisa; Mazza, Mary Carol; Pusic, Andrea
ISSN: 1057-9249
CID: 4418602

Negotiating health and beauty concerns in women's expectations and decision-making about breast reconstruction [Meeting Abstract]

Rubin, Lisa R.; Mazza, Mary Carol; Hurley, Karen; DiMaria, Lauren; Scott, Amie; Pusic, Andrea L.
ISSN: 0883-6612
CID: 4418612