Commentary: On the Wisdom and Challenges of Culturally Attuned Treatments for Latinos

In this commentary, I outline the common and distinctive components in the cultural adaptation studies in this special issue and compare cultural adaptations with universalistic and culture-specific perspectives. The term cultural attunement may be more reflective than cultural adaptation insofar as the cultural additions in these studies make the treatments more accessible by adding language translation, cultural values, and contextual stressors. These additions most likely enhance the level of engagement and retention in therapy for Latino families. The work ahead requires a deeper examination of the cultural theories of psychological distress and the cultural theories of change in therapy. A final proposal is made in this commentary for considering the bicultural aspects of the cultural adaptation or attunement enterprise, insofar as the clinical research encounters with immigrants are bicultural encounters. These encounters can reach beyond the notion of cultural "adaptation" of mainstream evidence-based treatments to ethnic minorities and present a unique opportunity for mutually enriching bicultural integration of theory, research, and practice.     

Self-regulatory efficacy and activity: Examining gradations of challenge

Objectives

This study examined different scheduling demands as a moderator of the self-regulatory efficacy (SRE)/physical activity relationship.

Design

A prospective design was used.

Method

Adolescents (N = 275) reported SRE and activity during times that reflected high and low scheduling demands.

Results

When scheduling demands were high, SRE predicted individual activity behavior (p < .001). During a period that reflected lower scheduling demands, however, SRE did not predict physical activity behavior (p = .25).

Conclusions

These findings support the idea that the level of challenge (demands) may be an important factor to consider when examining the SRE/activity behavior relationship.     

Predicting parental social influences: The role of physical activity variability

Objectives

This study examined how variations in the activity of adolescents might relate to the social influences used by parents. Specifically, mean differences in activity across adolescents (individual differences) as well as variation in activity within adolescents (intra-individual variation) were used to predict the use of family social influence.

Design

A prospective design was used.

Methods

High school students (N = 329) completed measures of activity (six times) and social influences received from family (positive, negative, collaborative) (five times) over a one-year period. A multilevel analysis was used to predict each of the three types of social influence. The predictors included activity in two forms: The individual’s mean level of activity (i.e., individual differences) and activity at the previous time point as a deviation from the individual’s mean activity level (i.e., intra-individual variation).

Results

Controlling for age, gender and school, results revealed that both individual differences in mean activity level (b = 0.04, p < .001) and intra-individual variation in activity (b = −0.02, p = .055) predicted use of collaborative influence. For positive influence, only individual differences in mean activity level was a predictor (b = 0.02, p < .001). Neither form of activity predicted parental use of negative influence.

Conclusions

Results revealed support for the positive relationship between both positive and collaborative types of influence and individual differences in activity that is typically reported in the literature. However, a negative relationship between intra-individual variation in activity and collaborative social influences also was found. This negative relationship, where lower activity than normal by the adolescent was related to a greater use of collaborative influence by the parent, may be indicative of a regulatory form of social influence.     

Racial/Ethnic Identity and Subjective Physical and Mental Health of Latino Americans: An Asset Within?

Social Identity Theory indicates that ethnic identity could benefit minority members in a society because of its promotion of a sense of belonging, or of its buffering of the damage of discrimination. Despite growing investigation about Latinos’ overall health, few studies have simultaneously examined the influence of multiple cultural strength factors, especially racial/ethnic identity, social support, and religious attendance, on these outcomes. Using the National Latino and Asian American Study, we examine the potential predictive value of these cultural strength factors on Latinos’ Self-Rated Mental and Physical Health (SRMH and SRPH). Two separate two-step regression models revealed significant positive effects of racial/ethnic identity on both mental and physical health of Latinos, above and beyond the effect of known demographic and acculturation factors, such as discrimination. Religious attendance had a positive effect on SRMH but not on SRPH. The deteriorating roles of discrimination, in mental health only, and that of Length in the US in both outcomes, however, was primarily not altered by entry of these cultural strength factors. The independent direct effect of racial/ethnic identity among Latinos nationwide may suggest that this cultural strength is an internalized protective asset. Longitudinal data is needed to explore its underlying mechanism and long-term impact.     

The role of state mindfulness during yoga in predicting self-objectification and reasons for exercise

ObjectivesObjectification theory is a useful framework for understanding how individuals internalize the sexual objectification of male and female bodies. This internalization, called self-objectification, can result in negative psychological and behavioral outcomes (e.g., body shame, disordered eating). Exercise that uses mindfulness to draw attention to the body's function and sensations rather than appearance may be one way to minimize self-objectification and improve associated outcomes. Therefore, the objective of this study was to explore how state mindfulness during exercise may associate with change in self-objectification, body image variables, and reasons for exercise.DesignThis study prospectively followed participants (N = 148, 80% female) from six yoga classes that met 2–3 times a week across an 8-week period.MethodRepeated measures MANOVAs were used to examine change over time in state mindfulness, self-objectification, physical self-concept, and reasons for exercise. Regression analysis was used to examine how state mindfulness predicted change in outcome variables.ResultsMANOVAs revealed significant decreases in self-objectification and increases in physical self-concept, health/fitness-related reasons for exercise, and state mindfulness. Further, results indicated that mindfulness during exercise was linked with decreases in self-objectification and increases in more internal reasons for exercise over time.ConclusionsState mindfulness plays a role in predicting change in self-objectification and reasons for exercise during yoga practice.