Feelings Matter: Depression Severity and Emotion Regulation in HIV/STI Risk-Related Sexual Behaviors

Human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention models may not address psychological complexities among adolescents with mental illnesses. This study examined contextual factors related to HIV/STI risk among heterosexually active Black adolescents with mental illnesses to inform the development of targeted HIV/STI prevention strategies. Black adolescent males and females (aged 14–17) were recruited from outpatient mental health programs in Philadelphia, PA to complete a computer-assisted personalized interview on sociodemographics, sexual behaviors, and emotion regulation (N?=?53). Two sample t-tests, Wilcoxon Rank Sum tests and regression modeling were used to examine differences in the study measures by gender and relationship status. Reports of sexual partner concurrency were high—both while already in a sexual relationship (67.3%) and multiple sexual partners in the same day (42.3%). Boys reported significantly more risk behaviors than girls. Sadness dysregulation predicted currently being in a relationship, older age at first oral sex, fewer vaginal sexual partners and fewer unprotected oral sexual encounters. Coping difficulties predicted a greater number of vaginal and oral sexual partners, and a lower age at first vaginal sex. Increasing depression severity was related to older age at first vaginal sex, fewer vaginal sexual partners and fewer unprotected oral sexual encounters in the past 3 months. This formative work suggests that coping mechanisms should be addressed in HIV/STI prevention research through the inclusion of activities targeted toward emotion regulation and decreasing sexual risk behaviors. Psycho-education and skills building may mitigate the psychopathology that contributes to HIV/STI risk in the target demographic.     

Sexual Abuse and Subsequent Risky Sexual Behaviors: A Competency Model for Treatment of Adolescent Females

Sexual abuse is an antecedent to many psychological and behavioral issues that accompany client families when they present for therapy. This article reviews relevant literature regarding sexual abuse in childhood/adolescence as it relates to resultant risky sexual behaviors and their combined impact on individual and family functioning. Treatment guidelines using Trauma Focused Cognitive Behavior Therapy are presented in the context of three key elements of clinical competence: knowledge, awareness, and skills.     

护理扩展培训在艾滋病干预模式中的探讨

新疆艾滋病形势严峻,艾滋病重点疫区的护理人员普遍存在着对艾滋病知识的缺乏,对艾滋病患者持有歧视、恐惧的心理及缺乏基本的防护知识等现状,艾滋病护理扩展培训项目的实施,通过对护理人员进行的艾滋病知识培训,对艾滋病干预模式进行了有益的探索和实践.     

护理扩展培训在艾滋病干预模式中的探讨

新疆艾滋病形势严峻,艾滋病重点疫区的护理人员普遍存在着对艾滋病知识的缺乏,对艾滋病患者持有歧视、恐惧的心理及缺乏基本的防护知识等现状,艾滋病护理扩展培训项目的实施,通过对护理人员进行的艾滋病知识培训,对艾滋病干预模式进行了有益的探索和实践。     

Attitudes Toward People Living With HIV/AIDS: A Model of Attitudes to Illness1

This study examined attitudes toward people living with HIV/AIDS within a sample of 220 young men and women. As predicted, a multiple regression analysis revealed that the fear of contracting HIV/AIDS through casual contact was a significant predictor of both men's and women's willingness to interact with people living with HIV/AIDS. Attitudes toward homosexuality were also a significant predictor of attitudes toward people living with HIV/AIDS among women, who generally have a low risk of contracting the disease in Western societies. These results indicate that attitudes toward people with a serious illness may be strongly related to the perceived risk of contracting the disease.     

Support for a Modified Tripartite Dual Pathway Model of Body Image Concerns and Risky Body Change Behaviors in French Young Men

The aim of the present study was to extend the extant literature by testing a modified Tripartite Dual Pathway Model of the development of male body image and eating concerns among French young men. A sample of 147 French male college students (M _age = 22.09 years-old, range = 18–30) completed a questionnaire assessing sociocultural influences, internalization of the lean/low body fat ideal and the muscular/athletic ideal, appearance comparison, body fat and muscularity dissatisfaction, muscularity enhancement behaviors, drive for thinness, and bulimic symptoms. The revised and final model was an adequate fit to the data, and included separate pathways for muscularity- and leanness-related concerns. This model shows that sociocultural pressures perceived from the media, family members, and peers were associated, through appearance comparison and internalization of the lean and muscular ideal, with body image concerns, disordered eating, and muscularity enhancement behaviors. Results reveal a strong and direct relationship between the internalization of the muscular/athletic ideal and muscularity enhancement behaviors. These findings contribute to the refinement of sociocultural models of the development of body image concerns and unhealthy body change behaviors including disordered eating among men, provide additional support for the usefulness of these models, and extend them to non-English speaking Western contexts.     

Understanding How Creative Thinking Skills,Attitudes and Behaviors Work Together: A Causal Process Model

Managers (N = 112) from a large international consumer goods manufacturer participated in a field experiment in which they learned and applied the Simplex process of creative thinking to solve real management problems. The interrelationships among six attitudinal and behavioral skill variables learned during the training were measured to improve understanding of how these variables contribute to the process. Predicted relationships were tested and a best‐fit causal model was developed. Behavioral skill in generating quantity of options was the most important variable overall: it was directly associated with behavioral skill in both generating quality options and evaluating options. The key attitudinal skill and the second most important variable overall was the preference for avoiding premature evaluation of options (deferral of judgment). The other attitude measured, the preference for active divergence, played only an indirect role in the process.     

Effects of HIV/AIDS Information on Attitudes Toward AIDS: A Cross-Ethnic Comparison of College Students

College students (N = 274) from five ethnic groups were administered an AIDS information questionnaire and the Attitudes Toward AIDS Scale (ATAS; Goh, in press) to determine the effects of AIDS information on attitudes toward AIDS. A series of chi-squares and multivariate analyses of variance indicated significant differences among ethnic groups on the usage of HIV/AIDS information, the self-reported degree of knowledge about HIV/AIDS, measured knowledge about HIV/AIDS, and HIV/AIDS-related attitudes. Besides ethnicity, access to HIV/AIDS information and self-reported degree of knowledge about AIDS had significant effects on a person's measured knowledge of and attitudes toward HIV/AIDS.     

Neuropsychological Functioning and Antiretroviral Treatment in HIV/AIDS: A Review

This article presents a review of studies that have investigated the neuropsychological effects of antiretroviral treatment (ART) for HIV-1 infection. It provides a brief overview of the era of monotherapy, dual-therapy, and an extended overview of the current era of combination antiretroviral therapy (CART). This review highlights that while CART has had a dramatic effect on the incidence and the severity of HIV-associated neurocognitive disorders (HAND), HAND, in its mild form, still remains prevalent. New causes of this sustained prevalence are poor CNS penetration of some antiretroviral agents, drug resistance, poor adherence, potential neurotoxicity, co-morbidities such as the long-term CART side effects in relation to cardio-vascular disease, and chronic HIV brain infection that may facilitate the expression of new forms of neurodegenerative processes. The review emphasizes the need to address methodological limitations of published studies and the need for large and representative cross-disciplinary longitudinal investigations across the HIV illness span.     

The Passion to Heal: A Theological Pastoral Approach to HIV/AIDS

Abstract. The global pandemic of HIV/AIDS is the most significant challenge of our time. The ongoing conversation between religion and science comes to a critical juncture in this pandemic. The global community has not yet found a vaccine or cure for this virulent virus, which will likely claim five million more lives in the coming year. The global statistics challenge even the most sophisticated imagination, with projections in the tens of millions of people dead, orphaned children, and many more living in various stages of incapacitation or diminished lives. There is a common prophetic religious imperative among Western faith communities that urgently requires both science and religion to respond. Both disciplines define their scope and purpose as universal, and the global pandemic provides a significant challenge to that universal claim. Regardless of the many differences among the nations and peoples challenged by this pandemic, there is a common moral foundation to which the Western religious and scientific traditions must respond. Religion and science cannot deny their respective social responsibilities by claiming the role of neutral bystander. There are several critical ethical choices to be made in response to the pandemic, and the disciplines of religion and science are critical in formulating those choices.     

Communicating HIV/AIDS Through African American Churches in North Carolina: Implications and Recommendations for HIV/AIDS Faith-Based Programs

This study explores HIV/AIDS communication strategies among church leaders at predominately African American churches in a metropolitan city and surrounding areas in North Carolina. The church leaders contacted for the study are members of an interfaith-based HIV/AIDS program. The researchers used semi-standardized interviews to explore how church leaders address HIV/AIDS in the church. The findings indicate that the seven church leaders who participated in the study use a variety of communication channels to disseminate HIV/AIDS information for congregants and their surrounding communities, which include both interpersonal and mass media.     

浅析影响艾滋病流行的社会因素

影响艾滋病流行的社会因素从宏观层面看有经济发展水平、法律政治和宗教文化等,从微观层面看有贫困、社会资本、教育、就业和人口流动、歧视等.研究社会影响因素不仅有助于揭示艾滋病流行根源,制定科学干预策略,也有助于反思当前的社会治理,促进社会公平与和谐发展.     

Constructions of social selves living with HIV/AIDS: A Jungian phenomenological study

This study explored sense of social well-being influences on self-identity and the stigma and discrimination among people living with HIV/AIDS (PLWHA). Informants were 15 PLWHA from a rural background in a South African community (female = 87%, age range = 26 to 64 years; and males = 13%, age range = 55 to 64 years). They completed semi-structured interviews on their lived experiences relating to a sense of social inclusion and belongingness. We thematically analysed the data, and interpreted the findings applying Jungian archetypes of the Self, Shadow, and Persona. Findings suggest PLWHA’s sense of a dominant Shadow to be a barrier to self-acceptance whereas a Persona (mask) was guided by a need to be socially acceptable. A positive sense of social well-being among PLWHA is important to their health and well-being.     

Disengagement and Engagement Coping with HIV/AIDS Stigma and Psychological Well-Being of People with HIV/AIDS

The stigma associated with HIV/AIDS poses a psychological challenge to people living with HIV/AIDS. We hypothesized that that the consequences of stigma-related stressors on psychological well-being would depend on how people cope with the stress of HIV/AIDS stigma. Two hundred participants with HIV/AIDS completed a self-report measure of enacted stigma and felt stigma, a measure of how they coped with HIV/AIDS stigma, and measures of depression and anxiety, and self-esteem. In general, increases in felt stigma (concerns with public attitudes, negative self-image, and disclosure concerns) coupled with how participants reported coping with stigma (by disengaging from or engaging with the stigma stressor) predicted self-reported depression, anxiety, and self-esteem. Increases in felt stigma were associated with increases in anxiety and depression among participants who reported relatively high levels of disengagement coping compared to participants who reported relatively low levels of disengagement coping. Increases in felt stigma were associated with decreased self-esteem, but this association was attenuated among participants who reported relatively high levels of engagement control coping. The data also suggested a trend that increases in enacted stigma predicted increases in anxiety, but not depression, among participants who reported using more disengagement coping. Mental health professionals working with people who are HIV positive should consider how their clients cope with HIV/AIDS stigma and consider tailoring current therapies to address the relationship between stigma, coping, and psychological well-being.     

A problem-posing educational methodology for the prevention of HIV / AIDS

The problem-posing methodology of Brazilian educator Paulo Freire, using the reading circle approach previously deployed in successful literacy campaigns in developing countries, is introduced for application in AIDS information programs. The basis of this educational process is the dialogue where those to be educated resolve their problems by evaluating information critically, capturing concepts by codification and decodification, and transmitting information by creating relevant educational materials. Health circles are organized with women as educators to impart knowledge about AIDS and HIV: definitions, epidemiological components (sex, age, and risk behavior), means of transmission, stages of the progression of AIDS, prevention of HIV infection, and tests for detecting HIV antibodies. The dialogue explores knowledge and feelings about AIDS and how it affects life in the community reveals personal experiences and accounts of knowing someone who was HIV-positive, and develops action plans to minimize AIDS cases in the community. The Latin population of California, mainly of Mexican origin, with low levels of education, income, and acculturation and a high incidence of AIDS, is an appropriate target of such intervention. In 1980, there were 12.3 million people of Hispanic origin in the US. In August 1990, there were 143,280 persons diagnoses with AIDS according to the Centers for Disease Control. 78,878 of these (55%) were Anglos, and 21,752 (15%) were Hispanics. Among the Anglos, the incidence was 300/million inhabitants, while among Hispanics, it was 1059/million, a 3-field higher rate.     

Fostering Change-Oriented Behaviors: A Broaden-and-Build Model

Purpose

The purpose of this study was to develop and test a broaden-and-build model relating LMX to employees’ change-oriented behaviors (creative performance and taking charge) through the mediators of positive affect and psychological capital.

Design/Methodology/Approach

Time-lagged, two-source data were collected from 248 participants and 40 direct leaders, which composed a heterogeneous sample of professional jobs from a three-wave data collection strategy. Mplus was employed to test the proposed hypotheses.

Findings

We found that LMX predicts employees’ change-oriented behaviors through two sequential paths: (a) the positive affect mediates the relationship between LMX and employee psychological capital, and (b) psychological capital mediates the relationship between positive affect and employees’ creative performance and taking charge. Our results provide a logical explanation of the ‘broadening’ and ‘building’ mechanisms through which LMX enhances employees’ change-oriented behaviors.

Implications

This study specifically suggests affective and psychological mechanisms by promoting the broadening and building phases that facilitate the transformation of individual perceptions of LMX, positive affect, and psychological capital in explaining employees’ creative performance and taking charge.

Originality/Value

This study develops a broaden-and-build model of change-oriented behaviors and contributes to research on proactive behaviors in the context of leader-member relationships.