Interpersonal communication can facilitate or inhibit positive mental-health outcomes, depending on a large number of factors. This study investigates associations among communication behaviors, social network factors, and a mental health outcome (distress) in frenemy relationships. Frenemy relationships refer to individuals who have negative feelings toward relational partners, but their interactions are typically performed to be seen as positive. In short, individuals conceal their negative feelings toward a partner while maintaining positive interactions. Given this definition and existing literature, deceptive affection and relational aggression were two communication behaviors that are likely to occur in frenemy relationships that are likely to negatively influence mental health. Therefore, this dissertation investigated the extent to which deceptive affection and relational aggression influence distress when communicating with a frenemy. In addition, like other interpersonal relationships, frenemy relationships are embedded in larger social networks which have also been found to influence mental health outcomes, either positively or negatively. Thus, this dissertation also examined how two social network factors – social network awareness of the frenemy relationship and social network liking of the frenemy – influence distress experienced when talking with the frenemy. Two hundred and seventy-nine non-college adults accessed the survey through Amazon’s Mechanical Turk and completed an online survey through Qualtrics. The results of multiple regression analyses indicated a positive association between relational aggression behaviors and distress when communicating with a frenemy. Results also showed that social network liking and social network awareness interact to influence distress. When the social network likes the frenemy, awareness of the frenemy relationship positively is positively related to distress. When the social network dislikes the frenemy, on the other hand, awareness of the relationship makes no difference on distress. Directions for future research include a number of interesting theoretical implications that link the present results to a variety of theoretical notions and concepts.

Employee voicing facilitates positive changes and experiences for organizations and employees. However, despite a plethora of research on voice in different disciplines, our understanding of the process of employee voicing is still limited. This study seeks to (a) identify the phases that characterize the voicing process and (b) uncover the communicative strategies that characterize the different phases of the voicing process in the renewable energy industry in Kenya. The study utilized a qualitative approach. Namely, semi-structured interviews were conducted with twenty-three renewable energy workers in Kenya who reported to have engaged in voicing. Data were analyzed using a grounded theory approach. The findings revealed five core phases that characterize voicing: idea formation, planning, initial enactment, reflexive enactment, and outcome. Further, the findings uncovered a variety of communicative strategies that are used in the different phases of voicing. These strategies emerged from the perspectives of different actors such as voicers, voicers’ peers, and recipients and their peers who are involved in the voicing process. The findings of this study advance voice theory by reconceptualizing voicing as a process that is highly interactive. Additionally, the findings extend voice theory in three other ways. First, the results demonstrate that power and status disparities in organizations produce hierarchies that inhibit voicing, especially among low power and status employees. Participants discussed how they communicatively navigate these disparities. Second, the results shed light on the ways voicers navigate different risks associated with voicing such as idea stealing and retributions. Third, the findings illustrate the specific ways that positive communicative relationships between peers, and between supervisors and subordinates facilitate voicing. Both supervisors and peers are highly involved in all phases of the voicing process and thus, contribute to the development and enactment of the ideas. Finally, the findings offer practical ways for cultivating and fostering voicing to voicers, voicers’ peers, voice recipients, and organizations in the renewable energy industry.

Personal training is a growing industry as individuals across the U.S. face increasing levels of physical and psychological health issues. Hiring a certified personal trainer (CPT) presents an opportunity to not only become healthier, but also to grow one’s knowledge and abilities; researchers refer to this process as self-expansion. This research sought to specify a path model of the self-expansion process clients experience while training with their CPT. Secondly, this research described clients’ self-reported disclosure patterns with their CPT. Using Amazon’s Mechanical Turk and ResearchMatch, the study sampled N = 392 U.S. residents who reported training with a CPT. Results from the path analysis indicated poor global fit; however, local fit supported several statistically significant paths. Clients’ level of internal motivation was positively associated with their self-disclosure, self-expansion, and self-pruning. Clients’ self-disclosure was positively associated with perceived closeness with their CPT. Contrary to prediction, clients’ perceived closeness was negatively associated with perceived support from their CPT. However, clients’ perceived closeness and perceived levels of support were both positively associated with their reported levels of self-expansion. Regarding clients’ disclosures, results indicated that clients primarily discuss physical training, diet and nutrition, and health concerns. Thematic analysis of self-reported disclosure examples revealed discussion topics including body dysmorphia, loss and grief, mental health, personal relationships, physical health, professionalism, support seeking, trainer sharing, and trust. Theoretical implications for the self-expansion model include support for additional variables in the self-expansion process, including motivation, self-disclosure, perceived support, and self-pruning. Additionally, practical recommendations for CPTs include an awareness of the type of relationship that clients may desire, as closeness may inhibit perceptions of support with training. Further, CPTs should be aware of the disclosures they may encounter, as clients may share intimate information and seek social support. As such, training programs should include sections on active listening and empathy and require CPTs to be knowledgeable of community resources in the event of a disclosure that presents a serious health risk to the client. Additional research is necessary, particularly to investigate closeness in the self-expansion process, as it did not function as expected within service and professional relationships.

Emerging adulthood represents a liminal space between adolescence and adulthood. Attachment with a romantic partner is commonly developed during this time; however, the nature of the dating relationship often remains ambiguous and/or undefined. Dating provides emerging adults the opportunity to develop their romantic competence and navigate these particular attachment relationships. Conflict, and how it is managed, is a critical variable during this time and differentiates between couples who progress in their relationship from those who terminate. What is more, partners may become stuck in destructive cycles, or patterns, of conflict (i.e., demand-withdrawal). Using the theoretical frameworks of attachment theory and emotionally focused couples therapy, this study’s goal it to examine the impact of a brief writing-intervention on relational quality, secure attachment behaviors (i.e., accessibility, responsiveness, and engagement) and attachment dimensions (i.e., anxiety, avoidance). Sixty-seven participants were randomly assigned to one of three conditions for a two-wave study: (1) a treatment condition that was provided an educational presentation regarding couples’ negative cycles of interaction and attachment needs, followed by a guided writing task; (2) a comparison condition that only received the educational presentation; and (3) a control condition that received neither the educational presentation nor the writing task. Hypotheses proposed that participants in the treatment condition would experience increased relational quality, secure attachment behaviors (for both themselves and their partner), and greater secure attachment (i.e., decreased anxiety and avoidance) across time compared to the comparison and control conditions. Data did not support the hypotheses. These findings offer important implications for the development of future brief couples’ interventions and aim to generate future research.

This study aimed to understand the factors that influence Chinese American older adults’ advance care planning (ACP) on end-of-life care. The Theory of Planned Behavior (TPB) and Health Belief Model (HBM) were primarily applied to explain Chinese American older adults’ intentions toward two behaviors: 1) discussion of end-of-life care plans with family members and 2) completion of an advance directive (AD). Additionally, acculturation and family cohesion were considered to examine their impacts on the TPB and HBM. A cross-sectional survey was conducted through face-to-face interviews on a sample of 298 community-dwelling Chinese-American adults aged 55 and older living in the metropolitan Phoenix area of Arizona. Based upon random assignment, 161 participants answered questions regarding discussing end-of-life care plans with family members, while 137 participants answered questions related to the completion of an AD. Hierarchical multiple regression analysis was used to focus on the influence of TPB and HBM measures on behavioral intentions toward the two behaviors. Results indicated that both the TPB and HBM had predictive power to explain the target population’s intentions. However, the predictability of TPB and HBM measures varied across the two behaviors. Acculturation moderated the relationship between attitudes and intentions to complete an AD negatively. Family cohesion moderated the relationship between perceived benefits and intentions to discuss end-of-life care plans with family members negatively. These findings would help inform future interventions for improving the target population’s ACP awareness and engagement.

This study examined differences in personal definitions of virginity among college students who had received either abstinence-stressing sex education or comprehensive sex education. It was hypothesized that participants who received abstinence-education would be more likely to perceive virginity as a gift, to be unsure about what specific sexual activities result in virginity loss, to have taken formal or personal virginity promises, to define their own non-vaginal sexual activity as abstinent, and to have pretended to be a virgin when they were not. Two surveys were distributed online to students at a large Southwestern university, and responses from 352 quantitative surveys and 75 qualitative surveys were analyzed. Participants in the abstinence group were more likely to be unsure about what sexual activities count as virginity loss and were more likely to have pretended they were a virgin when they were not. Women in the abstinence group were more likely to perceive virginity as a gift than those in the comprehensive group, though men were not. No differences were discerned between the abstinence group and the comprehensive group in rates of formal virginity promises or in tendency to define their own sexual activity as abstinent.

This study investigates the relationship between intercultural friendships and attitudes towards intercultural dating—from the perspective of Asian students studying in the United States. Twenty Chinese students completed an online, 19-item questionnaire (Survey Monkey) surveying the cultural diversity of their friendships (age, gender, religion, nationality, and language) and also their attitudes toward dating White U.S. Americans. The data were submitted to statistical tests and the results revealed no significant correlation between success in developing U.S. American friends, diversity of friendship networks, and interest in dating a White U.S. American. These non-significant results may be due to a limitation of the study--the small number of respondents. However additional findings revealed a high percentage of respondents expressed interest in making friends and dating White U.S. Americans. They also identified major challenges involved--language barriers and cultural differences. Finally, future research directions and applications of research findings are presented.

Affection represents a positive and often intimate psychological state (Floyd & Morman, 1998) that is communicated through verbal, nonverbal, and social supportive behaviors. A formidable research literature indicates that receiving and expressing affection significantly benefits health. One form of affection that may produce these benefits is cuddling. Cuddling includes intimate, physical, and loving whole-body contact that does not necessarily include sexual activity and tends to be reserved for very intimate relationships. Working from affectionate exchange theory (Floyd, 2001), this study’s purpose is to examine the effects of cuddling on relational health for individuals living with their spouse. To test a causal relationship between cuddling and relational health, a four-week experiment was conducted. Eighty adults were randomly assigned to one of three conditions: (1) a treatment condition in which individuals were instructed to increase cuddling behaviors with their spouse, (2) a comparison condition in which individuals were instructed to increase shared mealtime with their spouse, or (3) a control condition in which individuals were instructed to not change their behavior. Individuals in the treatment condition were predicted to experience significant improvements in relational health as outlined in the investment model (i.e., relational satisfaction, investment, quality of alternatives, and commitment) to a greater extent than individuals in the comparison or control conditions. A research question explored whether individuals in the comparison condition differed from those in the control condition. Planned contrasts were conducted to test the hypotheses. Results revealed that individuals in the treatment condition reported more relationship satisfaction and commitment and less quality of alternatives than individuals in the comparison and control conditions. Experimental conditions did not differ on reports of investment. Finally, individuals in the comparison and control conditions did not differ on any of the relational health markers. These findings support affection exchange theory and contribute to a growing literature identifying the benefits of affectionate communication. Moreover, the methodology and results of this study provide compelling evidence for a causal relationship between cuddling and satisfaction and commitment for relatively satisfied couples.

Sexual violence is a problem on college campuses across that United States. In the past few years, federal and state legislation has been drafted in order to address campus sexual violence. A main feature of this legislation addresses an important communicative construct related to students’ sexual behavior: sexual consent. Colleges and universities are adopting an affirmative-standard of consent, which emphasizes that consent for sexual activity be communicated verbally or via unambiguous actions, mutual, voluntary, enthusiastic, and ongoing throughout the sexual encounter. Literature has explored how college students communicate and interpret sexual consent, but antecedents to sexual consent behaviors, particularly affirmative consent, are largely unknown.

The current investigation seeks to longitudinally explore the antecedents to college students’ affirmative sexual consent behaviors (i.e., nonverbal, initiating, verbal). Using the Theory of Planned Behavior (TPB) as a theoretical framework, hypotheses predicted that at Time 1 (T1) attitudes, norms, and perceived behavioral control would positively and significantly predict students’ (T1) intentions to communicate affirmative consent to their partner. Then, it was predicted that at Time 2 (T2)—thirty days later—intentions to communicate consent from T1 would positively and significantly predict college students’ communication of affirmative consent to their partner during their most recent sexual encounter. The final matched (i.e., completed T1 and T2 surveys) sample included two hundred twenty-five (N = 225) college students who had engaged in sexual activity during the 30 days between survey distributions. Results from the path analyses support the theoretically driven hypotheses for all three affirmative consent behaviors, and demonstrate that subjective norms and perceived control are important and strong determinants of students’ communication of affirmative sexual consent. Furthermore, multi-group invariance tested the potential moderating effects of three individual, two dyadic, and two environmental/contextual variables on the strength of path coefficients between TPB constructs for all three sexual consent behaviors. Only individual and environmental/contextual variables significantly moderated relationships within the TPB for the three models. Results are discussed with regard to theoretical implications as well as practical implications for university health educators and other health professionals. Additionally, limitations and future directions are noted.

Background: This study examines how pro-vaccine flu messages, guided by the Extended Parallel Process Model (EPPM), affect parents’ intentions to vaccinate their children.

Methods: Parents of children six months to five years old (N = 975) were randomly exposed to one of four high-threat/high-efficacy messages (narrative, statistical, combined, control) and completed a follow-up survey. Differences between message conditions were assessed with one-way ANOVAs, and binary logistic regressions were used to show how constructs predicted intentions.

Results: There were no significant differences in the ANOVA results at p = .05 for EPPM variables or risk EPPM variables. There was a significant difference between message conditions for perceived manipulation (p = 0.026), authority, (p = 0.024), character (p = 0.037), attention (p < .000), and emotion (p < .000). The EPPM model and perceptions of message model (positively), and the risk EPPM model and fear control model (negatively), predicted intentions to vaccinate. Significant predictor variables in each model at p < .05 were severity (aOR = 1.83), response efficacy (aOR = 4.33), risk susceptibility (aOR = 0.53), risk fear (aOR = 0.74), issue derogation (aOR = 0.63), perceived manipulation (aOR = 0.64), character (aOR = 2.00), and personal relevance (aOR = 1.88). In a multivariate model of the significant predictors, only response efficacy significantly predicted intentions to vaccinate (aOR = 3.43). Compared to the control, none of the experimental messages significantly predicted intentions to vaccinate. The narrative and combined conditions significantly predicted intentions to search online (aOR = 2.37), and the combined condition significantly predicted intentions to talk to family/friends (aOR = 2.66).

Conclusions: The EPPM may not be effective in context of a two-way threat. Additional constructs that may be useful in the EPPM model are perceptions of the message and fear control variables. One-shot flu vaccine messages will be unlikely to directly influence vaccination rates; however they may increase information-seeking behavior. The impact of seeking more information on vaccination uptake requires further research. Flu vaccine messages should be presented in combined form. Future studies should focus on strategies to increase perceptions of the effectiveness of the flu vaccine.