It is widely believed that the family plays an etiologically significant role in somatization. Although research indicates many high symptom reporters come from dysfunctional homes, very little is known about the more specific aspects of daily family functioning that may heighten the risk of physical symptomatology at different developmental levels. Accordingly, we report findings on the relationship between ten dimensions of family-of-origin environment and physical health complaints in 933 children, adolescents, and young adults in junior high, high, and undergraduate school (grades 6–16). Results indicated that certain aspects of family life may combine to heighten the risk of somatic complaints for youth at different developmental levels. The implications of these findings are discussed and directions for future research are noted. Previous article in issue.
Findings suggested a buffering effect for leisure physical activity against physical symptoms and anxiety associated with minor stress. This effect was not found with depression. Additionally, there was no moderating effect for aerobic fitness on physical or psychological symptoms.
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The present investigation evaluates the relationship between HIV infection and victimization with regard to the interplay of these two factors as they relate to mental and physical health. Eighty eight inner-city low income African-American women who are HIV-infected and a demographically similar comparison group of women who were not HIV-infected were assessed for victimization experiences (rape, physical assault, robbery/attack) via interview.
Additionally, the psychological symptoms and health status correlates of victimization within the HIV-infected group are delineated. Results indicated that women in the HIV-infected sample were significantly more likely to report a victimization experience. Additionally, within the HIV-infected group, victims reported higher levels of global psychological distress, depressive symptomatology, and greater distress regarding physical symptoms than nonvictims. Furthermore, HIV-infected victims were diagnosed with higher rates of AIDS-defining conditions than HIV-infected nonvictims. These results underscore the importance of acknowledging the experience of violent victimization in the prevention and treatment of HIV infection in women.
T., & Benjack, K. Connections between childhood abuse and HIV infection. Journal of Counseling and Development, 70, 309–313.Amaro, H. Love, sex, and power: Considering women's realities in HIV prevention.
American Psychologist, 50, 437–447.American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders: Fourth edition. Washington, DC: American Psychiatric Association.Armistead L. P., & Forehand, R.
For whom the bell tolls: Parenting decisions faced by mothers who are HIV seropositive. Clinical Psychology: Science & Practice, 2, 239–250.Beebe, D.
K., Gulledge, K. M., & Replogle, W. Prevalence of sexual assault among women patients seen in family practice clinics. Family Practice Research Journal, 14, 223–228.Bureau of Justice Crime Statistics (1995). Violence against women: Estimates from the redesigned survey. NCJ-154348).Cascardi, M., & O'leary, K. Depressive symptomatology, self-esteem, and self-blame in battered women.
Journal of Family Violence, 7, 249–259.Centers for Disease Control and Prevention (1995). 1995 HIV/AIDS Surveillance Report.Collett, C. Modeling binary data. London: Chapman & Hall.Derogatis, L.

R., Rickels, K., & Rock, A. The SCL-90 and the MMPI: A step in the validation of a new self-report scale.
British Journal of Psychiatry, 128, 280–289.Derogatis, L. R., & Spencer, P. The Brief Symptom Inventory Administration, Scoring, and Procedures Manual.Dibble, U. Some social structure determinants of inconsistency between attitudes and behavior: The case of family violence. Journal of Marriage and the Family, 42, 71–80.Drossman, D.
A., Leserman, J., Nachman, G., Li, Z., Gluck, H., Toomey, T., & Mitchell, M. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Annals of Internal Medicine, 113, 828–833.Family Health Project Research Group (in press). The Family Health Project: A multidisciplinary longitudinal investigation of children whose mothers are HIV-infected.
Clinical Psychology Review.Freedman, J. B., O'Dowd, M. A., Wyszynski, B., Torres, J. R., & McKegney, F. Depression, HIV dementia, delirium, posttraumatic stress disorder (or all of the above).
General Hospital Psychiatry 16, 426–434.Gelfand, D. M., & Hartmann, D. (1984) Child behavior analysis and therapy (2nd Ed.). New York: Pergamon.Goldberg, M. Substance abusing women: False stereotypes and real needs.
Social Work, 40, 789–798.Golding, J. Sexual assault history and physical health in randomly selected Los Angeles women.
Health Psychology, 13, 130–138.Grile, D. E., Brady, K.
T., Dustan, C. R., & Malcom, R. Sexual and physical assault history and posttraumatic stress disorder in substance dependent individuals.
American Journal of the Addictions, 4, 297–305.Hamilton, M. A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.Hanson, R. F., Kilpatrick, D.
G., Falsetti, S. A., & Resnick, H. Violent crime and mental health. Freedy & S.E. Hobfall (Eds.), Traumatic stress: From theory to practice (pp.
New York: Plenum.Irwin, C., Falsetti, S. A., Lydiard, R. B., & Ballenger, J. Comorbidity of posttraumatic stress disorder and irritable bowel syndrome. Journal of Clinical Psychiatry, 57, 576–578.Johnsen, L.
W., & Harlow, L. Childhood sexual abuse linked with adult substance use, victimization, and AIDS risk. AIDS Education and Prevention, 8, 44–57.Kalichman, S. C., Adair, V., Somali, A. M., & Wier, S.
The perceived social context of AIDS: Study of inner-city sexually transmitted disease clinic patients. AIDS Education and Prevention, 7, 298–307.Kemeny, M. E., & Dean, L. Effects of AIDS-related bereavement on HIV progression among New York City gay men. AIDS Education and Prevention, 7, 36–47.Kiecolt-Glaser, J. K., & Glaser, R.
Psychoneuroimmunology and health consequences: data and shared mechanisms. Psychosomatic Medicine, 57, 269–74.Kimerling, R., & Calhoun, K. Somatic symptoms, social support, and treatment seeking among sexual assault victims.
Journal of Consulting & Clinical Psychology, 62, 333–340.Koss, M. P., Woodruff, W. J., & Koss, P. Criminal victimization among primary care medical patients: Prevalence, incidence, and physician usage. Behavioral Sciences and the Law, 9, 85–96.Kremer, E., Atkinson, J.H., & Ignelzi, R.J. Measurement of pain: Patient preference does not confound pain measurement. Pain, 10, 241–248.Lewis, Y.
(1996, November). Association Between History of Violence and HIV-Risky Drug Use and Sexual Behaviors Among Female Sexual Partners of Injection Drug Users. Poster presented at the annual meeting of the American Public Health Association, New York, NY.Melnick, S. L., Sherer, R., Louis, T. A., Hillman, D., Rodriguez, E. M., Lackman, C., Capps, L., Brown, L. S., Carlyn, M., & Korvick, J.
Survival and disease progression according to gender of patients with infection. Journal of the American Medical Association, 272, 1915–1921.National Victim Center (1992, April). Rape in America: A report to the nation.

National Victim Center: Arlington, VA.Nott, K. H., Vedhara, K., Spickett, G. Psychology, immunology, and HIV. Psychoneuroendocrinology, 20, 451–74.Paone, D., & Chavkin, W. From the private family domain to the public health forum: Sexual abuse, women, and the risk for HIV infection. SIECUS Report, April/May, 13–16.Resick, P.
The psychological impact of rape. Journal of Interpersonal Violence, 8, 223–255.Resnick, H. S., Acierno, R., & Kilpatrick, D. Health impact of interpersonal violence 1: Prevalence rates, case identification, and risk factors for sexual assault, physical assault, and domestic violence in men and women. Behavioral Medicine, 23, 65–78.Resnick, H. S., Kilpatrick, D.
G., Dansky, B. S., Saunders, B.
E., & Best, C. Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting and Clinical Psychology, 61, 984–991.Resnick, H.
S., Kiplatrick, D. G., & Seals, B. (1996, September). Rape and HIV risk: An epidemiological study. Paper presented at the American Psychological Association Meeting on Psychosocial and Behavioral Factors in Women's Health: Washington, DC.Riggs, D. S., Kilpatrick, D. G., & Resnick, H.
Long-term psychological distress associated with marital rape and aggravated assault: A comparison to other crime victims. Journal of Family Violence, 7, 283–296.Sampson, R. J., & Castellano, T. Economic inequality and personal victimization: an areal perspective. British Journal of Criminology, 22, 363–385.Semple, S. J., Patterson, T. L., Temoshok, L.
R., McCutchan, J. A., Straits-Troster, K. A., Chandler, J. L., & Grant, I. Identification of psychobiological biological stressors among HIV-positive women. Women & Health, 20, 15–36.Sherr, L., Petrak, J., Melvin, D., & Davey, T.
Psychological trauma associated with HIV infection in women. Counseling Psychology Quarterly, 6, 99–108.Straus, M. A. I feel myself password crack. , & Gelles, R. Physical violence in American families: Risk factors and adaptations to violence in 8,145 families. New Brunswick NJ: Transaction.Wadsworth, R., Spampheto, A.
M., & Halbrook, B. Role of sexual trauma in chemical dependent women: Addressing the relapse issue.
Journal of Counseling and Development, 73, 401–406.Wahler, H. The Physical Symptoms Inventory: Measuring levels of somatic complaining behavior. Journal of Clinical Psychology, 24, 207–211.Wahler, H. Wahler Physical Symptoms Inventory manual.
Los Angeles: Western Psychological Services.Ward, M. A different disease: HIV/AIDS and health care for women in poverty. Culture, Medicine and Psychiatry, 17, 413–430.Wingood, G. M., & DiClemente, R. HIV sexual risk reduction interventions for women: A Review. American Journal of Preventive Medicine, 12, 209–215.Wolfe, J., & Kimerling, R. Gender issues in the assessment of posttraumatic stress disorder.
Keane (Eds.), Assessing psychological trauma and PTSD (pp.192–238). New York: Guilford.Wyatt, G. Examining ethnicity versus race in AIDS related sex research. Social Science in Medicine, 33, 37–45.Wyatt, G. The sociocultural context of African American and White American women's rape. Journal of Social Issues, 48, 77–92.Zierler, S., & Krieger, N. Reframing women's risk: social inequalities and HIV infection.
Annual Review of Public Health, 18, 401–436.Zierler, S., Witbeck, B., & Mayer, K. Sexual violence against women living with or at risk for HIV infection. American Journal of Preventive Medicine, 12, 304–310.