Physical activity and body image: Intertwined health priorities identified by transmasculine young people in a non-metropolitan area

Abstract

Background: A dearth of research exists about the health behaviors of transgender young people (TYP). As we seek to learn more about transgender (trans) health, community-based participatory research (CBPR) approaches are crucial for incorporating TYP’s needs into the formulation of research questions and development of health behavior programing.

Aim: Explore body image and exercise as priorities among TYP.

Methods: Trans masculine young adults (N?=?16) in a small city in the Midwest took part in semi-structured interviews about their health behaviors and priorities. Theme analysis was used to capture key patterns in participants’ responses. Specific analysis steps included initial and more specific coding, analytical memos, organizational matrices and reports, and discussion about results with participants.

Results: Participants identified exercise and body image as connected primary health concerns. They discussed these issues in terms of three themes: Body shape as motivation for exercise; Poor body image, stigma and fear as exercise barriers, and; Exercise or lack of, as destructive. Participants wanted to exercise to achieve a certain body shape, not for health or as stress relief. They cited gyms as unwelcoming, however. They also worried about discrimination and did not feel sufficiently comfortable with their bodies to exercise. When they could not exercise, they used harmful behaviors, like restricted eating, to achieve a specific male shape.

Conclusions: Using participatory methods allowed us to understand the priorities of a group of Transmasculine young people. Our findings suggest that it is important to continue to explore TYP’s body-related motivations for exercise and understand the balance between exercise as a positive health behavior, and a potentially harmful one, in light of TYP’s complex body image concerns. Trans friendly gyms and gym policies could promote safe exercise and continued anti trans discrimination work and policy advocacy can promote the safety of TYP in all spaces.     

Effects of a Military Parenting Program on Parental Distress and Suicidal Ideation: After Deployment Adaptive Parenting Tools

Few studies have examined whether parenting prevention programs might mitigate risk for suicidality in parents, yet parent suicidality is a strong risk factor for offspring suicidality. We report results from a randomized controlled trial of a parenting program for deployed National Guard and Reserve families with a school‐aged child. Intent‐to‐treat analyses showed that random assignment to the parenting program (ADAPT) was associated with improved parenting locus of control (LOC). Improved parenting LOC was concurrently associated with strengthened emotion regulation which predicted reductions in psychological distress and suicidal ideation at 12 months postbaseline. Results are discussed in the context of ongoing efforts to reduce suicide rates in military populations.     

Behavioral Strategies to Minimize Procedural Distress During In-Office Pediatric Tympanostomy Tube Placement Without Sedation or Restraint

Journal of Clinical Psychology in Medical Settings - The purpose of this study was to evaluate behavioral strategies to minimize procedural distress associated with in-office tympanostomy tube...     

“You Can Catch More Flies with Honey than Vinegar”: Objectification Valence Interacts with Women’s Enjoyment of Sexualization to Influence Social Perceptions

Although objectification is a common experience for women (Fredrickson & Roberts, 1997), little is understood about how women perceive sources of objectifying commentary and behaviors. The current work provides a novel integration of objectification and consistency theories to understand how valence of sexual objectification and women’s feelings about sexual attention interact to predict perceptions of objectifying sources. In two online vignette studies with 121 and 110 U.S. women recruited through MTurk, female participants were asked to recall an experience of complimentary or critical objectification and report perceptions of source warmth, approach behavioral intentions, perceived overlap between the self and the source, and enjoyment of sexualization. Consistent with hypotheses, regression analyses revealed that reporting experiences of complimentary objectification led to more positive source perceptions among women who reported that they enjoy being sexualized relative to reporting experiences of critical objectification. Furthermore, path analyses revealed that self-other overlap emerged as a mechanism of women’s more positive source perceptions, with a significant indirect effect of self-other overlap emerging for the link between enjoyment of sexualization and warmth and approach in the complimentary objectification condition. The effects were replicated across two studies. The discussion centers on how understanding women’s objectifying source perceptions could illuminate when interpersonal objectification will lead to more experiences of objectification or women’s internalization of objectifying self-perceptions.

     

How well do various types of support buffer psychological distress among transgender and gender nonconforming students?

Background: Transgender and gender nonconforming (TGNC) individuals experience an increased prevalence of many psychological disorders, leading many to reach out for support from family, friends, mental health professionals, and religious or community networks. Nonetheless, experiences seeking support are often negative, and many psychotherapists report feeling underprepared to work with TGNC clients. To better understand the experiences of TGNC individuals and better equip psychotherapists in their work with TGNC clients, we investigate which sources of support most successfully buffer psychological distress among TGNC individuals.

Aims: This study aims to identify differences in levels of various types of support (social, family, religious, and living-situation) between cisgender and TGNC individuals and examine how these types of support may or may not buffer psychological distress among TGNC individuals.

Method: We used a United States national sample of 3,090 students (1,030 cisgender men; 1,030 cisgender women; 349 transgender; 681 endorsing another gender identity) from the Center for Collegiate Mental Health 2012–2015 database which provided basic demographic information through the Standardized Data Set. Psychological distress was measured through the Counseling Center Assessment of Psychological Symptoms 34-item questionnaire.

Results: TGNC individuals reported more distress, less family support, more social support, and less frequent religious affiliation than cisgender men and women. Family and social support emerged as the strongest predictors of distress for both TGNC and cisgender individuals. Though religious affiliation and living on-campus buffered distress among cisgender students, they did not buffer distress among TGNC students.

Conclusion: Our study highlights disparities in distress and support between TGNC and cisgender individuals. We found that although religious affiliation and on-campus living are beneficial for cisgender students, neither systematically buffers distress for TGNC students. These findings illustrate the impact minority stress and systemic discrimination may have on TGNC individuals and provide suggestions for therapeutic intervention in work with TGNC individuals.     

Perceptions of Organisational Subculture and their Significance for Organisational Commitment

Cet article examine la relation entre les styles de leadership, l’implication et la perception des cultures et subcultures organisationnelles. L’impact de la culture et du style de leadership sur l’implication a déjàété envisagé, mais on manque d’informations sur les relations que les différents types de culture et de styles de leadership entretiennent avec l’implication. L’article est centré sur la notion de subculture organisationnelle et la façon dont la perception de ces cultures rejaillit sur l’implication, la subculture étant une variable négligée dans la littérature sur l’implication. Cette question fut abordée dans une enquête portant sur 258 infirmières relevant de divers secteurs hospitaliers de l’agglomération de Sydney. Les résultats indiquent que la subculture organisationnelle perçue est forcement reliée à l’implication. On précise en outre la force du lien existant entre l’implication et les différents types de leadership et de subculture. Les subcultures innovantes et centrées sur les personnes bénéficient d’une relation nettement positive tandis que les subcultures bureaucratiques souffrent d’une relation négative. Pour ce qui est des styles de leadership, un style centré sur les relations présente un lien plus fort avec l’implication qu’un style centré sur la tâche. Une analyse de régression a permis d’étudier l’éventuel rôle médiateur de la subculture dans l’influence du leadership sur l’implication. Le leadership a des effets à la fois directs et indirects sur l’implication. On traite finalement des retombées sur la pratique et les recherches à venir. This paper investigates the relationship between perceptions of organisational culture, organisational subculture, leadership style, and commitment. The impact of culture and leadership style on commitment has been previously noted, but there is a lack of detail regarding how different types of culture and leadership styles relate to commitment. The paper particularly addresses the notion of organisational subcultures and how the perception of those cultures relates to commitment, subculture being a neglected variable in the commitment literature. These issues were addressed in a survey of 258 nurses drawn from a range of hospital settings and wards within the Sydney metropolitan region. Results indicate that perceived organisational subculture has a strong relationship with commitment. Furthermore, the results identify the relative strength of specific types of leadership style and specific types of subculture with commitment. Both innovative and supportive subcultures have a clear positive relationship, while bureaucratic subcultures have a negative relationship. In terms of leadership style, a consideration style had a stronger relationship with commitment than a structuring style. Regression analysis was used to investigate the possible role of subculture as a mediator for the influence of leadership on commitment. Both direct and indirect effects of leadership on commitment were found. Implications for practice and for further research are discussed.