Deborah A. Kashy's research while affiliated with Michigan State University and other places
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Publications (158)
Background
Although there is extensive literature on correlates of health-related quality of life (HRQoL) among cancer survivors, there has been less attention paid to the role of socioeconomic disadvantage and survivorship care transition experiences in HRQoL. There are few large cohort studies that include a comprehensive set of correlates to obt...
Background and aims:
Labels designed to communicate critical information are paramount for the safe and effective use of over-the-counter medications; in recognition of this, the content and formatting of over the counter (OTC) labels sold in interstate commerce has been regulated for decades. Yet, available studies suggest that consumers frequent...
Objective: Intimate partner violence (IPV) during pregnancy is associated with negative physical and mental health consequences for both mothers and infants. Economic hardship is often exacerbated during pregnancy and is associated with increased rates of IPV in nonpregnant samples. However, temporal associations between economic hardship and IPV v...
Particular phases of the menstrual cycle may exacerbate affective symptoms for females with a diagnosed mental health disorder. However, there are mixed findings regarding whether affective symptoms change across the menstrual cycle in females without a clinical diagnosis. The window of vulnerability model proposes that natural increases in ovarian...
Background
Reproductive and sexual health (RSH) concerns are common and distressing for young adults diagnosed with breast and gynecologic cancer and their partners. This study evaluates the efficacy of a virtual couple-based intervention called Opening the Conversation (OC). The OC intervention is grounded in theory and evidence-based practice and...
Objective:
Physical and psychosocial effects of oral cancer result in long-term self-management needs. Little attention has been paid to survivors' self-efficacy in managing their care. Study goals were to characterise self-care self-efficacy and evaluate socio-demographics, disease, attitudinal factors and psychological correlates of self-efficac...
Problem solving is a necessary part of all successful relationships. The current study examined how naturally occurring day-to-day problem solving discussions were related to daily reports of relationship quality. In addition, we investigated whether optimism was associated with the nature and occurrence of these problems and moderated the associat...
Background:
Survivors of oral cavity and oropharyngeal cancer frequently experience difficulties in swallowing; tasting; speaking; chewing; and maintaining comfortable movements of the head, neck, and shoulder. Engagement in regular self-care can reduce further loss of function and mitigate late effects. Despite the substantial self-care requireme...
Background
Fatigue often interferes with functioning in patients with advanced cancer, resulting in increased family caregiver burden. Acceptance and commitment therapy, a promising intervention for cancer-related suffering, has rarely been applied to dyads coping with advanced cancer.
Aim
To examine the feasibility, acceptability, and preliminary...
Background:
Individuals diagnosed with melanoma before the age of 40 years (young-onset melanoma survivors) and their first-degree relatives (FDRs) are a growing population at risk for developing recurrent melanoma or new melanomas. Regular surveillance using clinical skin examination (CSE) and skin self-examination (SSE) and engagement in prevent...
Touch is a primary form of communication for mother-infant dyads in the infant’s first year of life. Stressors such as intimate partner violence (IPV) and maternal depression experienced during the perinatal period may interfere with mother-infant touch via prenatal programming of the stress response and disrupted parenting. Mother-infant touch res...
Background
Identifying the characteristics of persons who benefit more from behavioral interventions can help health care providers decide which individuals should be offered particular interventions because this is the subgroup of persons who are more likely to derive greater benefit from the intervention and refine the underlying constructs of th...
Over-the-counter (OTC) drugs have many benefits but also carry risks, such as adverse drug reactions, which are more prevalent in older adults. Because these products do not require the oversight of a physician or pharmacist, labeling plays a key role in communicating information required for their safe and effective use. Research suggests that cur...
Young melanoma survivors and their family are at increased risk for developing melanoma, but seldom engage in sun protection behaviors. Little is known about the role of family factors in sun protection. Our goals were: 1) examine correspondence between survivors and family sun protection, individual attitudes, and family attitudes and communicatio...
Background:
Regular skin self-examination (SSE) reduces melanoma mortality but is not often conducted.
Purpose:
To promote SSE performance in individuals at increased risk for melanoma.
Methods:
One hundred sixteen individuals at heightened risk for development of melanoma (i.e., personal/family history of melanoma, high-risk mole phenotype) w...
This study examines whether changes over time in women’s criminogenic needs, particularly their financial needs, predict recidivism. In a 9-year longitudinal study, 304 women were interviewed repeatedly during 4.5 years after probation/parole began. Women provided data on both their gender-specific and gender-neutral criminogenic needs. Women’s ave...
Corollary discharge (CD) signals are "copies" of motor signals sent to sensory regions that allow animals to adjust sensory consequences of self-generated actions. Autism spectrum disorder (ASD) is characterized by sensory and motor deficits, which may be underpinned by altered CD signaling. We evaluated oculomotor CD using the blanking task, which...
This article identifies predictors of two influences on desistance from crime – generativity (caring for others) and life satisfaction. Using data from a five-year longitudinal study of 260 women on probation and parole in Michigan, the goal is to determine whether risks and needs common to women offenders are related to generativity and satisfacti...
Background
The study objective was to assess potential correlates of sun protection behaviors among melanoma survivors.
Methods
Participants were 441 melanoma survivors recruited from three health centers and a state cancer registry in the United States. Sun protection behaviors (sunscreen, shade, protective shirts, and hats) were assessed through...
Previous research indicates that worry is associated with poorer working memory performance. Moreover, prior work demonstrates that estradiol relates to both worry and working memory performance. In the present study, we sought to further examine interrelations between worry, estradiol and working memory by testing whether estradiol moderates the a...
Adherence to regular, thorough skin self-examination (SSE) and consistent sun protection behaviors among melanoma survivors is relatively low. This study reports on the impact of an online intervention, called mySmartSkin (MSS), on engagement in SSE and sun protection behaviors among melanoma survivors, as well as the mediators of the intervention...
Objective:
Palatable food (PF) intake is significantly greater in females than males and increases during adolescence. Previous data suggest that puberty and ovarian hormones may contribute to these sex and developmental differences, but few studies have examined this possibility. The aim of the current study was to address these gaps by examining...
Objective:
How couples communicate about cancer is an important predictor of psychological outcomes for men diagnosed with localised prostate cancer and their spouses. We examined the predictive role of disclosure, responsiveness, mutual avoidance, and holding back on depressive symptoms, psychological adjustment, cancer-specific distress, and can...
Over-the-counter (OTC) medication is a convenient, affordable way for older adults to treat a variety of conditions; older consumers use more OTCs per capita than other people for varied reasons. As with any medication, OTCs carry risks. Because the labels of OTCs are frequently the only information accessed by consumers, labels designed to communi...
Background: The study objective was to assess potential correlates of sun protection behaviors among melanoma survivors.
Methods: Participants were 441 melanoma survivors recruited from three health centers and a state cancer registry in the United States. Sun protection behaviors (sunscreen, shade, protective shirts, and hats) were assessed throug...
Background
Self‐management regimens for oral and oropharyngeal cancer survivors can be complex and challenging. Effective self‐management skills can foster better outcomes. We report on the development, feasibility, and pilot testing of a web‐based self‐management tool called “Empowered Survivor” (ES) for survivors of oral and oropharyngeal cancer....
Recent research suggests that estrogen is protective against binge eating in adult females and that pubertal estrogen may be critical for these effects. Nonetheless, to date, no study has examined the role of pubertal estrogen in adult binge-eating phenotypes in females, potentially because of difficulties experimentally manipulating estrogen in hu...
According to narrative identity theory, to desist from breaking the law, offenders must fashion a prosocial identity through a process of redemption by “making good” of past negative events. To improve understanding of women offenders’ redemption, analyses were conducted of the life stories and the identity change those stories revealed for 118 U.S...
Melanoma patients are at elevated risk for recurrence of the primary cancer as well as second primary melanomas. Regular skin self-examination (SSE) is recommended as part of follow-up surveillance. In this study, we examined SSE performance and comprehensiveness as well as knowledge and attitudinal correlates of SSE performance and comprehensivene...
Objective
Self-efficacy is an important psychological resource to assist people in managing chronic illness and has been associated with psychological outcomes among patients coping with cancer. Little is known about the course of self-efficacy among gynecological cancer patients coping with cancer and the sociodemographic, medical, and psychologic...
Background:
Sexual concerns are distressing for breast cancer survivors and interfere with their intimate relationships. This study evaluates the efficacy of a four-session couple-based intervention delivered via telephone, called Intimacy Enhancement (IE). The IE intervention is grounded in social cognitive theory and integrates evidence-based te...
Objective:
In a previously published trial, we compared the effect of an intimacy-enhancing therapy (IET) and a General Health and Wellness intervention (GHW) on psychological and relationship outcomes among men diagnosed with localized prostate cancer and their partners. Results suggested partial effects of IET on psychological adjustment and rel...
This study examines the prediction of substance-related technical violations and arrests from (a) a three-dimensional measure of substance abuse treatment engagement—treatment satisfaction, treatment participation, and counselor rapport—and (b) support from peers in the treatment program. The study focuses on 204 women on probation or parole who at...
Objectives
Few couple‐focused interventions have improved psychological and relationship functioning among men diagnosed with localized prostate cancer and their spouses. This study compared the impact of intimacy‐enhancing therapy (IET), a general health and wellness intervention (GHW), and usual care (UC) on the psychological and relationship fun...
The use of contralateral prophylactic mastectomy (CPM) is increasing among breast cancer patients who are at average or “sporadic” risk for contralateral breast cancer. Because CPM provides no survival benefit for these patients, it is not medically recommended for them. Decision support aids may facilitate more informed, higher quality CPM decisio...
Purpose
Although studies have demonstrated a protective role for benefit finding in psychological distress, little is known about how benefit finding leads to lower psychological distress. This study’s goal was to use a multiple mediator model to evaluate whether the effect of benefit-finding on depression was mediated by acceptance of cancer, acce...
This single arm pilot intervention study evaluated the feasibility and preliminary impact of a Sun Safe Partners, which is a couple-focused intervention targeting improved sun protection behavior. Data were collected from New Jersey between August 2015 and March 2016. Participants were 61 couples reporting low levels of sun protection recruited fro...
The Continuous Assessment of Interpersonal Dynamics (CAID) is a method in which trained observers continuously code the dominance and warmth of individuals who interact with one another in dyads. This method has significant promise for assessing dynamic interpersonal processes. The purpose of this study was to examine the impact of individual sex,...
Perceived unsupportive responses from close others play an important role in psychological adaptation of patients with cancer. Little is known about whether these negative responses change after someone experiences a serious life event, and even less is known about the individual characteristics and related factors that might contribute to both the...
The present study focused on intimacy processes in the relationships of men diagnosed with localized prostate cancer and their partners. Using the actor–partner interdependence model (APIM), we examined the interpersonal process model of intimacy, which proposes associations between self- and perceived partner disclosure about cancer and perceived...
Examines impacts of familiarity, conflict, and sex on continuously assessed behavior in dyadic interactions using the Continuous Assessment of Interpersonal Dynamics across several samples. Establishes norms and basic psychometrics for CAID while also informing factors that influence interpersonal behavior.
There is much debate about the effects of punitive or treatment responses to the many women who are on probation and parole. This article examines whether types of technical violations (drug or nondrug related) and responses to them (treatment or punishment oriented) as well as supervision intensity predict recidivism. Study participants are 385 wo...
For a sample of 396 women on probation and parole, this article presents the results of qualitative analysis that shows the nature of violence for a subgroup of 75 women who were convicted of a violent act. For the full sample of 396, the article also presents results of quantitative analyses that identify correlates of violent behavior. Women’s vi...
Historically, minority youth have experienced harsher punishments and more negative outcomes than White youth even when risk assessment is used. The current study investigated the role of ethnicity in an understudied dispositional decision-program referral-and the outcomes associated with said referral using a sample of juvenile offenders (N = 2,67...
This article addresses criticism by critical and feminist criminologists who fault the Risk/Needs/ Responsivity corrections model for ignoring state-created recidivism risks. It examines the connection between women offenders' changes in access to economic safety net benefits and changes in individual recidivism risk. Longitudinal quantitative data...
This article reports on a study of the connection of probation and parole agents’ communication with relationship supportiveness as perceived by both women offenders and agents. For a sample of offenders and their agents, multilevel modeling was used to control for nonindependence of data for women assigned to the same agent. Consistent with commun...
Attunement between mothers and infants in their hypothalamic-pituitary-adrenal (HPA) axis responsiveness to acute stressors is thought to benefit the child's emerging physiological and behavioral self-regulation, as well as their socioemotional development. However, there is no universally accepted definition of attunement in the literature, which...
Objective:
Although a number of effective psychotherapies have been identified for cancer patients, little is known about therapy processes as they unfold the course of treatment and the role of therapy processes in treatment outcome. We used growth curve modeling to evaluate the associations between therapy processes and outcomes among gynecologi...
Objective:
There has been little attention paid to the role of therapeutic processes in group therapy outcomes for cancer patients participating in group. The goal was to evaluate the contribution of three group processes - group climate (conflict, engagement, avoidance) working alliance, and therapeutic realizations - to the outcomes of two coupl...
Objective:
This study compared the efficacy of two psychological interventions, a coping and communication-enhancing intervention (CCI) and supportive counseling (SC), in reducing depressive symptoms, cancer-specific distress, fear of recurrence, and emotional well-being of women diagnosed with gynecological cancer. Demographic, medical, and psych...
Objective
To examine the trajectories of caregiver psychological responses in the year following their child’s hematopoetic stem cell transplant (HSCT), and whether cognitive and social processing strategies differentiated between trajectories.
Method
One hundred and eight caregivers randomized to the control condition of a cognitive-behavioral...
Objective:
Fear of cancer recurrence is an important clinical phenomenon and is associated with decrements in life domains. The study goals were to characterize patterns of global fear of recurrence (FOR) and four domains of fear (health, role, womanhood, and death worry) over time in women who were diagnosed with gynecological cancer and to ident...
Context:
Lung cancer is one of the most common cancers affecting both men and women and is associated with high symptom burden and psychological distress. Lung cancer patients' family caregivers also show high rates of distress. However, few interventions have been tested to alleviate significant problems of this population.
Objectives:
This stu...
Individuals may be more motivated to adopt health practices if they consider the benefits of these behaviors for their close
relationships. The goal of this study was to examine couple concordance with sun protection and use the interdependence and
communal coping theory to evaluate the role of relationship factors in sun protection. One hundred an...
Objective:
The aims of this study were to evaluate the efficacy of the 2 types of couple-focused group interventions on couples' psychological and relationship functioning, and to examine possible moderators for each intervention.
Method:
Three hundred and two women with early stage breast cancer who were recruited within 1 year of diagnosis and...
This study extends research on psychological reactance theory by examining probation and parole officer (PO) communication style as an antecedent to female offenders' reactance and 2 indicators of subsequent drug and alcohol abuse while serving probation or parole sentences. Structural equation modeling was conducted to test a mediational path mode...
Objective:
Individuals may be more motivated to adopt health-promoting practices if they consider the benefits of these behaviours for their close relationships. The goal of this study was to use the interdependence theory to evaluate the role of relationship factors in skin self-examination (SSE).
Design:
The study adopted a cross-sectional sur...
Objective:
Providing care to one's child during and after a hematopoietic stem cell transplant (HSCT) is a universally stressful experience, but few psychological interventions have been developed to reduce caregiver distress. The goal of this study was to test the efficacy of a brief cognitive-behavioral intervention delivered to primary caregive...
Because women offenders often have limited social networks and unique needs, the actions of probation/parole officers providing community supervision may be particularly relevant to outcomes. The present study examined the effects of probation/parole officer relationship style, attention to criminogenic needs, and intensity of supervision on women...
Guided by control theory, this study examines memorable messages that women on probation and parole receive from their probation and parole agents. Women interviewed for the study were asked to report a memorable message they received from an agent, and to describe situations if/when the message came to mind in three contexts likely to emerge from...
The present study evaluated intimacy as a mechanism for the effects of holding back sharing concerns about cancer on couples' psychological distress, well-being, and marital satisfaction using the actor-partner interdependence model (APIM), and evaluated 2 possible moderators of these associations: the number of patient and spouse cancer concerns....
Prior meta-analytic work has highlighted important etiological distinctions between aggressive (AGG) and non-aggressive rule-breaking (RB) dimensions of antisocial behavior. Among these is the finding that RB is influenced by the environment more than is AGG. Relatively little research, however, has sought to identify the specific environmental exp...
A healthy diet and physical activity are recommended for prostate cancer survivors. Interdependence theory suggests that the spousal relationship influences those health behaviours and the degree of correspondence may be an indicator of this influence. This study evaluated the correspondence between prostate cancer survivors and spouses regarding p...
Resilience has been linked to psychological adaptation to many challenging life events.
The goal was to examine 3 coping strategies-expressing positive emotions, positive reframing of the cancer experience, and cultivating a sense of peace and meaning in life-as potential mechanisms by which resilience translates to quality of life among women rece...
Speed-dating studies provide a useful venue for studying attraction and other relationship initiation processes. They provide researchers with a unique opportunity to assess how much a dyadic behavior (e.g., attraction) is due to some relationship-specific adjustment or the dispositional tendencies of the two people interacting. Researchers can als...
An established body of literature shows that females have higher levels of fear than males. Research suggests that women typically resort to rather constraining behavioral actions that limit their participation in public life. However, it is unclear whether the strategies women use to avoid victimization are tied to community context, especially fo...
Abstract Heterosexual HIV transmission remains the leading cause of HIV incidence in adult men and women in sub-Saharan Africa. This study assessed whether an HIV risk-reduction intervention would be more likely to increase sexual barrier acceptability and decrease risk behavior when delivered to couples in gender concordant groups or in an individ...
Objective
We aimed to demonstrate how a novel analytic strategy—the one-with-many (OWM) design—can provide unique information about patient-physician communication that cannot be obtained using traditional analytic strategies.
Methods
Using an OWM design we conducted a secondary analysis of behavioral (talk time) and self-reported (perceived teamn...
If couples can maintain normalcy and quality in their relationship during the cancer experience, they may experience greater relational intimacy. Cancer-specific relationship awareness, which is an attitude defined as partners focusing on the relationship and thinking about how they might maintain normalcy and cope with cancer as a couple or "team"...
Although prior research revealed that in noncorrectional and correctional settings, staff relationship style affects client outcomes, there has been little study of this effect for women offenders. The present study investigated effects of two dimensions of relationship style (probation or parole agent-reported supportiveness and punitiveness) on f...
This study examined associations between partner unsupportive behaviors, social and cognitive processing, and adaptation in patients and their spouses using a dyadic and interdependent analytic approach. Women with early stage breast cancer (N = 330) and their spouses completed measures of partner unsupportive behavior, maladaptive social (holding...
Research suggests that individuals on probation and parole typically reside in impoverished neighborhoods affected by multiple forms of socioeconomic disadvantage. These neighborhoods are often extremely segregated, resulting in the concentration of deleterious effects, including crime, on communities of color, especially African Americans. We buil...
Patient participation in cancer clinical trials is low. Little is known about attitudinal barriers to participation, particularly among patients who may be offered a trial during an imminent initial oncology consult. The aims of the present study were to confirm the presence of proposed subscales of a recently developed cancer clinical trial attitu...
This study used the Ottawa Decision Support Framework to evaluate a model examining associations between clinical trial knowledge, attitudinal barriers to participating in clinical trials, clinical trial self-efficacy, and clinical trial preparedness among 1256 cancer patients seen for their first outpatient consultation at a cancer center. As an e...
Importance
Skin cancer is common among older adults. Some national organizations recommend total cutaneous examination (TCE) and skin self-examination (SSE) for skin cancer detection. Although the spousal relationship is a known influence on health behavior, little is known about the level of correspondence in skin screening among couples. Objecti...
The objective of this study was to evaluate the efficacy of a couple-tailored print (CTP) intervention on colorectal cancer screening (CRCS), CRCS intentions, and on knowledge and attitudes among couples in which neither partner is on schedule with regard to CRCS. A total of 168 married couples with both members non-adherent with CRCS were randomly...
The current study examined rates of alcohol misuse among National Guard (NG) service members and their spouses/partners, concordance of drinking behaviors among couples, and the effects of alcohol misuse, depression, and posttraumatic stress disorder (PTSD) on three measures of family functioning. This study is important because it addresses the to...
Strategies to prevent HIV transmission may benefit from addressing both individual and dyadic factors. This study compared the impact of group and individual interventions on the acceptability of sexual barrier products among HIV sero-concordant and discordant couples, and evaluated the contribution of couple members' perceived product acceptabilit...
