A Different Approach in Developing a Sexual Self-Concept Scale for Adolescents in Accra,Ghana

Adolescents residing in urban poor Accra face sexual and reproductive health challenges. Interventions to address them have not been entirely effective; thus, researching adolescents’ sexual self-concept (SSC) could strengthen our understanding of precursors to their sexual activity. For this study, a culturally appropriate scale is developed to measure the SSC of adolescents in urban poor Accra. Focus group discussions and content analysis generated items in the scale. Factor analyses techniques were used to develop sub-scales measuring different SSC dimensions. Three sub-scales, ‘sexual enthusiasm’, ‘sexual intrepidness’ and ‘sexual readiness’ were reliable SSC measures. Validity assessments found that sexually ready and enthusiastic youth were more likely to have engaged in coital, pre-coital and risky sexual behaviors. Also, as their sexual intrepidness and enthusiasm increased, adolescents had significantly worse mental health. These scales may provide an important step in understanding adolescent sexual behavior in the urban poor context and thus need further investigation.     

Clinical Trial Application in Europe: What Will Change with the New Regulation?

The European framework surrounding clinical trials on medicinal products for human use is going to change as demonstrated by the large debate at European institutional level. One of the major challenges is to overcome the lack of harmonisation of clinical trial procedures among countries. This aspect is gaining more and more importance, considering the increasing number of multicentre and multinational studies. In this work, the actual European rules governing the Clinical Trial Application have been analysed throughout the different steps including the registration of the trial in the European database; the preparation of documents to be submitted and their contents; the preparation of documents related to the information and consent process; the submission to competent bodies. Specific issues related to paediatric research and trials involving non EU/EEA countries have been addressed as well. Results reveal that the European legislation offers a well defined set of European rules covering different aspects of a Clinical Trial Application. However, these are not suitable to meet the challenges from multicentre and multinational clinical studies. A stronger set of rules, such as is available in a composite European Regulation has been adopted and is expected to harmonise practices and enable sponsors to carry out well conducted trials. But will the new regulation overcome the existing criticisms of Directive 2001/20/EC?     

Why Does Disaster Recovery Work Influence Mental Health?: Pathways through Physical Health and Household Income

Disaster recovery work increases risk for mental health problems, yet the mechanisms underlying this association are unclear. We explored links from recovery work to post‐traumatic stress (PTS), major depression (MD), and generalized anxiety disorder (GAD) symptoms through physical health symptoms and household income in the aftermath of the Deepwater Horizon oil spill. As part of the NIEHS GuLF STUDY, participants (N = 10,141) reported on cleanup work activities, spill‐related physical health symptoms, and household income at baseline, and mental health symptoms an average of 14.69 weeks (SD = 16.79) thereafter. Cleanup work participation was associated with higher physical health symptoms, which in turn were associated with higher PTS, MD, and GAD symptoms. Similar pattern of results were found in models including workers only and investigating the influence of longer work duration and higher work‐related oil exposure on mental health symptoms. In addition, longer worker duration and higher work‐related oil exposure were associated with higher household income, which in turn was associated with lower MD and GAD symptoms. These findings suggest that physical health symptoms contribute to workers’ risk for mental health symptoms, while higher household income, potentially from more extensive work, might mitigate risk.     

Effects of self-generated versus experimenter-provided cues on the representation of future events

Most experimental studies of prospection focused on episodic forms of future events prompted by means of verbal cues. However, there is evidence suggesting that future events differ considerably according to whether they are produced in response to external, experimenter-provided verbal cues or they are self-generated. In the present study, we compared the quality, the phenomenal characteristics, the temporal distribution, and the content of imagined events prompted by experimenter-provided cues (i.e., cue-words and short verbal sentences) or elicited by means of verbal cues that were self-generated in an autobiographical fluency task. The results showed that future events prompted by means of self-generated cues contained fewer event-specific details than future events prompted by experimenter-provided cues. However, future events elicited by means of self-generated and by experimenter-provided cues did not differ with respect to their phenomenal characteristics. The temporal distribution and the thematic content of future representations were also affected by the type of cue used to elicit prospection. These results offer a holistic view of the properties of future thinking and suggest that the content and the characteristics of envisioned future events may be affected by the method used to elicit prospection.     

A semistructured interview with parents-to-be used during pregnancy: Preliminary data

The aim of this paper is to describe The Clinical Interview for Parents during Pregnancy (CGG—Colloquio per Genitori in Gravidanza). The interview was developed in the context of a longitudinal research study, carried out in the first 2 years of the child's life. The study was aimed at investigating fathers' attitudes and behavior toward child care and the possible influence of these attitudes and behavior on the child's current and future development. This was also compared with mothers' attitudes and behaviors. This work provides the background rationale for the content of the CGG and the discussion of the interview. The CGG was administered to 90 middle-class Italian couples expecting their first baby, who were recruited from childbirth classes to participate in the study. The sample did not include women at risk during pregnancy. We chose to investigate three areas: couples' ability to foresee their own function after the child's birth; the activities they expected to share with their baby; their capacity to anticipate their child's physical and psychological characteristics. Responses were subjected to quantitative content analysis. We describe the utility of such analysis. Finally, we review clinical and research meanings and applications of the CGG. © 1997 Michigan Association for Infant Mental Health     

Modes of Introspective Access: a Pluralist Approach

Philosophia - Several contemporary philosophical theories of introspection have been offered, yet each faces a number of difficulties in providing an explanation of the exact nature of...     

Psychopathology and behavior problems in children and adolescents with Williams syndrome: Distinctive relationships with cognition

Several studies have documented the high prevalence of psychopathology and behavior problems in Williams syndrome (WS). However, the links between cognitive development and such symptoms need further clarification. Our study aims to expand current knowledge on levels of behavior problems and its links to cognition in a sample of Brazilian individuals with WS. A total of 25 children and adolescents with WS and their parents participated in this study. The participants’ IQs were assessed with the Wechsler Scales of Intelligence (for children or adults) and parental reports of psychopathology/behavior problems were collected using the Child Behavior Checklist (CBCL). The presence of clinically significant attention problems was a main feature in our sample of children and adolescents with WS. In the children, higher IQ scores were found to be significantly associated with less externalizing problems, while in the adolescents cognitive abilities were found to be associated with less internalizing symptoms. These results provide further insight into the links between psychopathology and behavior problems and cognitive abilities in WS, and suggest the need to take age into consideration when analyzing such relationships.