Ann C . Eckardt | New York University (original) (raw)

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Papers by Ann C . Eckardt

Research paper thumbnail of Creating and Testing the Reliability of a Family Maltreatment Severity Classification System

Journal of Interpersonal Violence

Child maltreatment and intimate partner abuse determinations often include judgments (e.g., sever... more Child maltreatment and intimate partner abuse determinations often include judgments (e.g., severity) that go beyond whether or not the allegations are founded. Severity ratings inform multiple stakeholders (e.g., researchers, policymakers, clinicians, supervisors) and response pathways (e.g., “differential response” to child maltreatment). However, because severity guidelines typically only provide global direction for raters, these gradations are often of questionable reliability (and thus validity). Extending earlier work developing and implementing reliable and valid family maltreatment substantiation criteria (e.g., Heyman & Slep, 2006 , 2009 ), a classification system for maltreatment severity was created, refined, and field-tested with a sample of clinicians from the largest maltreatment protection agency in the United States The goal was to develop operationalized criteria delineating mild, moderate, and severe maltreatment that could be consistently applied across types of ...

Research paper thumbnail of Theories of Child Abuse

A Content-Based Approach, 2014

Research paper thumbnail of The Relationship between Empathy and Personality in Undergraduate Students’ Attitudes toward Nonhuman Animals

Society & Animals, 2012

The majority of research investigating beliefs toward nonhuman animals has focused on vivisection... more The majority of research investigating beliefs toward nonhuman animals has focused on vivisection or utilized populations with clear views on animal issues (e.g., animal rights activists). Minimal research has been conducted on what personality factors influence a nonclinical or nonadjudicated population’s beliefs about the treatment of animals. The purpose of the present study was to examine the role of empathy and personality traits in attitudes about the treatment of animals in 241 undergraduate students. Results indicated that those with high levels of empathy held more positive attitudes toward animals and more negative beliefs about animal cruelty than those with low levels of empathy. Some differences in participants’ specific attitudes toward animals were found. Limitations and implications for future research are reviewed.

Research paper thumbnail of The Relationship between Empathy and Personality in Undergraduate Students’ Attitudes toward Nonhuman Animals

Society & Animals, 2012

The majority of research investigating beliefs toward nonhuman animals has focused on vivisection... more The majority of research investigating beliefs toward nonhuman animals has focused on vivisection or utilized populations with clear views on animal issues (e.g., animal rights activists). Minimal research has been conducted on what personality factors influence a nonclinical or nonadjudicated population’s beliefs about the treatment of animals. The purpose of the present study was to examine the role of empathy and personality traits in attitudes about the treatment of animals in 241 undergraduate students. Results indicated that those with high levels of empathy held more positive attitudes toward animals and more negative beliefs about animal cruelty than those with low levels of empathy. Some differences in participants’ specific attitudes toward animals were found. Limitations and implications for future research are reviewed.

Research paper thumbnail of Development of a Multilevel Prevention Program for Improved Relationship Functioning in Active Duty Military Members

Military Medicine, 2015

The relationships and families of active duty (AD) service members have been tremendously straine... more The relationships and families of active duty (AD) service members have been tremendously strained by deployments and high operations' tempo. This study involves the first steps in developing a multilevel approach to preventing relationship problems that integrates universal, selective, and indicated prevention/intervention. Such an approach has tremendous empirical support for parenting problems, but no similar program exists for couple problems. We conducted two studies with U.S. Air Force Security Forces members. Study 1 elicited the target population's topics of highest interest. For almost all topics, 70% to 95% of participants who desired information reported being underserved by current prevention offerings (i.e., not receiving needed information). Using the top topics generated in Study 1, we developed prevention information/action planning sheets on 18 relationship issues. In Study 2, we had AD members who gave feedback on the form and content of the sheets. Overall, AD members believed that the sheets were moderately to very useful and were presented well, had pithy but comprehensive information and conveyed the content well. Results imply that a multilevel approach may be a useful complement to formal services in meeting underserved military members' needs and that further research and development of this dissemination vector for evidence-based information is warranted.

Research paper thumbnail of Boundaries of Schizoaffective Disorder

JAMA Psychiatry, 2013

Established nosology identifies schizoaffective disorder as a distinct category with boundaries s... more Established nosology identifies schizoaffective disorder as a distinct category with boundaries separating it from mood disorders with psychosis and from schizophrenia. Alternative models argue for a single boundary distinguishing mood disorders with psychosis from schizophrenia (kraepelinian dichotomy) or a continuous spectrum from affective to nonaffective psychosis. To identify natural boundaries within psychotic disorders by evaluating associations between symptom course and long-term outcome. The Suffolk County Mental Health Project cohort consists of first-admission patients with psychosis recruited from all inpatient units of Suffolk County, New York (72% response rate). In an inception cohort design, participants were monitored closely for 4 years after admission, and their symptom course was charted for 526 individuals; 10-year outcome was obtained for 413. Global Assessment of Functioning (GAF) and other consensus ratings of study psychiatrists. We used nonlinear modeling (locally weighted scatterplot smoothing and spline regression) to examine links between 4-year symptom variables (ratio of nonaffective psychosis to mood disturbance, duration of mania/hypomania, depression, and psychosis) and 10-year outcomes. Nonaffective psychosis ratio exhibited a sharp discontinuity-10 days or more of psychosis outside mood episodes predicted an 11-point decrement in GAF-consistent with the kraepelinian dichotomy. Duration of mania/hypomania showed 2 discontinuities demarcating 3 groups: mania absent, episodic mania, and chronic mania (manic/hypomanic >1 year). The episodic group had a better outcome compared with the mania absent and chronic mania groups (12-point and 8-point difference on GAF). Duration of depression and psychosis had linear associations with worse outcome. Our data support the kraepelinian dichotomy, although the study requires replication. A boundary between schizoaffective disorder and schizophrenia was not observed, which casts further doubt on schizoaffective diagnosis. Co-occurring schizophrenia and mood disorder may be better coded as separate diagnoses, an approach that could simplify diagnosis, improve its reliability, and align it with the natural taxonomy.

Research paper thumbnail of Biological Sensitivity to Context in Couples: Why Partner Aggression Hurts Some More Than Others

Journal of Consulting and Clinical Psychology, 2013

Objective: Cardiovascular reactivity to laboratory stressors was investigated as (a) a moderator... more Objective: Cardiovascular reactivity to laboratory stressors was investigated as (a) a moderator of associations of partner aggression with affective functioning, alcohol problems, and parenting, and (b) a consequence of partner aggression. Method: Cohabiting adult couples (N = 453) with 3- to 7-year-old children were recruited by random digit dialing and completed questionnaires assessing couple physical aggression, discipline practices, anger, stress, depressive symptoms, and problem alcohol use. Heart rate and blood pressure were measured at rest and in response to laboratory stressors (mental arithmetic and video presentations of family conflict). Results: Males’ physical aggression more strongly predicted women’s affective functioning and alcohol problems when the women had greater cardiovascular reactivity. This pattern did not extend to men. Physical victimization was associated with lower cardiovascular reactivity. Conclusions: The present results provide partial support for the Biological Sensitivity to Context model of Boyce and Ellis (2005) and suggest that incorporating the moderating influence of biological reactivity may improve the precision of models of the effects of aggression on adult adjustment.

Research paper thumbnail of The honeymoon effect: Does it exist and can it be predicted?

Prevention Science, 2014

The population-level decrease over time in newlyweds’ marital satisfaction is well established. Y... more The population-level decrease over time in newlyweds’ marital satisfaction is well established. Yet decreasing marital satisfaction does not occur for all spouses to the same extent, if at all. In the present article, we test for the presence and predictability of a “honeymoon effect”—initially high, but rapidly decreasing, marital satisfaction in newlywed couples. Community couples (N=395)were studied from 1month prior through 2.5 years after marriage. A supermajority of couples showed initially high marital satisfaction that either slowly decreased (women: 86 %) or remained steady (men: 78 %). Smaller groups of men and women showed initially high (men) and moderately high (women), rapidly decreasing marital satisfaction or steady, low levels of marital satisfaction. Membership in these latter less optimal, classes was most consistently predicted by spouses’ own intimate partner violence (IPV) and depression, as well as by their partners’ marital satisfaction, IPV, and depression. The findings suggest that men at risk for the honeymoon effect (~14 %) can be identified for selective prevention based on such predictors. Women at risk for decreasing marital satisfaction (~10 %) can also be identified based on risk factors, but may also exhibit somewhat attenuated marital satisfaction at engagement.

Research paper thumbnail of Creating and Testing the Reliability of a Family Maltreatment Severity Classification System

Journal of Interpersonal Violence

Child maltreatment and intimate partner abuse determinations often include judgments (e.g., sever... more Child maltreatment and intimate partner abuse determinations often include judgments (e.g., severity) that go beyond whether or not the allegations are founded. Severity ratings inform multiple stakeholders (e.g., researchers, policymakers, clinicians, supervisors) and response pathways (e.g., “differential response” to child maltreatment). However, because severity guidelines typically only provide global direction for raters, these gradations are often of questionable reliability (and thus validity). Extending earlier work developing and implementing reliable and valid family maltreatment substantiation criteria (e.g., Heyman & Slep, 2006 , 2009 ), a classification system for maltreatment severity was created, refined, and field-tested with a sample of clinicians from the largest maltreatment protection agency in the United States The goal was to develop operationalized criteria delineating mild, moderate, and severe maltreatment that could be consistently applied across types of ...

Research paper thumbnail of Theories of Child Abuse

A Content-Based Approach, 2014

Research paper thumbnail of The Relationship between Empathy and Personality in Undergraduate Students’ Attitudes toward Nonhuman Animals

Society & Animals, 2012

The majority of research investigating beliefs toward nonhuman animals has focused on vivisection... more The majority of research investigating beliefs toward nonhuman animals has focused on vivisection or utilized populations with clear views on animal issues (e.g., animal rights activists). Minimal research has been conducted on what personality factors influence a nonclinical or nonadjudicated population’s beliefs about the treatment of animals. The purpose of the present study was to examine the role of empathy and personality traits in attitudes about the treatment of animals in 241 undergraduate students. Results indicated that those with high levels of empathy held more positive attitudes toward animals and more negative beliefs about animal cruelty than those with low levels of empathy. Some differences in participants’ specific attitudes toward animals were found. Limitations and implications for future research are reviewed.

Research paper thumbnail of The Relationship between Empathy and Personality in Undergraduate Students’ Attitudes toward Nonhuman Animals

Society & Animals, 2012

The majority of research investigating beliefs toward nonhuman animals has focused on vivisection... more The majority of research investigating beliefs toward nonhuman animals has focused on vivisection or utilized populations with clear views on animal issues (e.g., animal rights activists). Minimal research has been conducted on what personality factors influence a nonclinical or nonadjudicated population’s beliefs about the treatment of animals. The purpose of the present study was to examine the role of empathy and personality traits in attitudes about the treatment of animals in 241 undergraduate students. Results indicated that those with high levels of empathy held more positive attitudes toward animals and more negative beliefs about animal cruelty than those with low levels of empathy. Some differences in participants’ specific attitudes toward animals were found. Limitations and implications for future research are reviewed.

Research paper thumbnail of Development of a Multilevel Prevention Program for Improved Relationship Functioning in Active Duty Military Members

Military Medicine, 2015

The relationships and families of active duty (AD) service members have been tremendously straine... more The relationships and families of active duty (AD) service members have been tremendously strained by deployments and high operations' tempo. This study involves the first steps in developing a multilevel approach to preventing relationship problems that integrates universal, selective, and indicated prevention/intervention. Such an approach has tremendous empirical support for parenting problems, but no similar program exists for couple problems. We conducted two studies with U.S. Air Force Security Forces members. Study 1 elicited the target population's topics of highest interest. For almost all topics, 70% to 95% of participants who desired information reported being underserved by current prevention offerings (i.e., not receiving needed information). Using the top topics generated in Study 1, we developed prevention information/action planning sheets on 18 relationship issues. In Study 2, we had AD members who gave feedback on the form and content of the sheets. Overall, AD members believed that the sheets were moderately to very useful and were presented well, had pithy but comprehensive information and conveyed the content well. Results imply that a multilevel approach may be a useful complement to formal services in meeting underserved military members' needs and that further research and development of this dissemination vector for evidence-based information is warranted.

Research paper thumbnail of Boundaries of Schizoaffective Disorder

JAMA Psychiatry, 2013

Established nosology identifies schizoaffective disorder as a distinct category with boundaries s... more Established nosology identifies schizoaffective disorder as a distinct category with boundaries separating it from mood disorders with psychosis and from schizophrenia. Alternative models argue for a single boundary distinguishing mood disorders with psychosis from schizophrenia (kraepelinian dichotomy) or a continuous spectrum from affective to nonaffective psychosis. To identify natural boundaries within psychotic disorders by evaluating associations between symptom course and long-term outcome. The Suffolk County Mental Health Project cohort consists of first-admission patients with psychosis recruited from all inpatient units of Suffolk County, New York (72% response rate). In an inception cohort design, participants were monitored closely for 4 years after admission, and their symptom course was charted for 526 individuals; 10-year outcome was obtained for 413. Global Assessment of Functioning (GAF) and other consensus ratings of study psychiatrists. We used nonlinear modeling (locally weighted scatterplot smoothing and spline regression) to examine links between 4-year symptom variables (ratio of nonaffective psychosis to mood disturbance, duration of mania/hypomania, depression, and psychosis) and 10-year outcomes. Nonaffective psychosis ratio exhibited a sharp discontinuity-10 days or more of psychosis outside mood episodes predicted an 11-point decrement in GAF-consistent with the kraepelinian dichotomy. Duration of mania/hypomania showed 2 discontinuities demarcating 3 groups: mania absent, episodic mania, and chronic mania (manic/hypomanic >1 year). The episodic group had a better outcome compared with the mania absent and chronic mania groups (12-point and 8-point difference on GAF). Duration of depression and psychosis had linear associations with worse outcome. Our data support the kraepelinian dichotomy, although the study requires replication. A boundary between schizoaffective disorder and schizophrenia was not observed, which casts further doubt on schizoaffective diagnosis. Co-occurring schizophrenia and mood disorder may be better coded as separate diagnoses, an approach that could simplify diagnosis, improve its reliability, and align it with the natural taxonomy.

Research paper thumbnail of Biological Sensitivity to Context in Couples: Why Partner Aggression Hurts Some More Than Others

Journal of Consulting and Clinical Psychology, 2013

Objective: Cardiovascular reactivity to laboratory stressors was investigated as (a) a moderator... more Objective: Cardiovascular reactivity to laboratory stressors was investigated as (a) a moderator of associations of partner aggression with affective functioning, alcohol problems, and parenting, and (b) a consequence of partner aggression. Method: Cohabiting adult couples (N = 453) with 3- to 7-year-old children were recruited by random digit dialing and completed questionnaires assessing couple physical aggression, discipline practices, anger, stress, depressive symptoms, and problem alcohol use. Heart rate and blood pressure were measured at rest and in response to laboratory stressors (mental arithmetic and video presentations of family conflict). Results: Males’ physical aggression more strongly predicted women’s affective functioning and alcohol problems when the women had greater cardiovascular reactivity. This pattern did not extend to men. Physical victimization was associated with lower cardiovascular reactivity. Conclusions: The present results provide partial support for the Biological Sensitivity to Context model of Boyce and Ellis (2005) and suggest that incorporating the moderating influence of biological reactivity may improve the precision of models of the effects of aggression on adult adjustment.

Research paper thumbnail of The honeymoon effect: Does it exist and can it be predicted?

Prevention Science, 2014

The population-level decrease over time in newlyweds’ marital satisfaction is well established. Y... more The population-level decrease over time in newlyweds’ marital satisfaction is well established. Yet decreasing marital satisfaction does not occur for all spouses to the same extent, if at all. In the present article, we test for the presence and predictability of a “honeymoon effect”—initially high, but rapidly decreasing, marital satisfaction in newlywed couples. Community couples (N=395)were studied from 1month prior through 2.5 years after marriage. A supermajority of couples showed initially high marital satisfaction that either slowly decreased (women: 86 %) or remained steady (men: 78 %). Smaller groups of men and women showed initially high (men) and moderately high (women), rapidly decreasing marital satisfaction or steady, low levels of marital satisfaction. Membership in these latter less optimal, classes was most consistently predicted by spouses’ own intimate partner violence (IPV) and depression, as well as by their partners’ marital satisfaction, IPV, and depression. The findings suggest that men at risk for the honeymoon effect (~14 %) can be identified for selective prevention based on such predictors. Women at risk for decreasing marital satisfaction (~10 %) can also be identified based on risk factors, but may also exhibit somewhat attenuated marital satisfaction at engagement.