Perspectives on Factors Impacting Youth’s Reentry into Residential Care: An Exploratory Study

Multiple placements in therapeutic residential care is expensive, and is associated with poor outcomes; thus, identifying barriers to successful reintegration into the home and community school settings is essential for developing appropriate post-discharge supports, and reducing societal costs. Participants were seven youth (four female; three White/Caucasian, one Black/African American, one Hispanic/Latino, two multi-racial) recently readmitted to a therapeutic residential care program and five of their primary caregivers (four female; four White/Caucasian, one Black/African American). Through semi-structured interviews with caregivers and youth, this exploratory study investigated (1) the perceptions of preparedness for the youth’s successful transition from therapeutic residential care to the home setting, (2) the post-discharge factors that contributed to the youth’s return to care, and (3) the lessons learned about the youth’s transition from therapeutic residential care to home. The results of this exploratory, qualitative study revealed rich information about youth and their caregivers’ perspectives about their experiences prior to returning to care, such as the importance of healthy relationships (family and peers), transition planning, and post-discharge supports at the individual, family, and school levels.     

Stigma Consciousness and Subjective Well-Being in Lesbians and Gays

The stigma associated with sexual identity can affect an individual’s well-being. The main goal of this study was to analyse the role of a psychosocial variable, stigma consciousness, on the well-being of lesbian and gay (LG) individuals. For this purpose, a sample of 481 participants completed various questionnaires (M _age = 32.36, SD _age = 9.60). Analysis of these results using structural equations showed two different pathways to cope with the stigma. The first pathway consists of collective action, and the second consists of stigma concealment. Specifically, stigma consciousness positively predicts well-being through group identification and collective action. Stigma concealment, however, negatively predicts well-being through the perception of prejudice. In addition, this work has confirmed that concealment has a direct negative relationship with subjective well-being. These results are interpreted from a psychosocial perspective. Finally, based on our data, we propose future interventions that provide LG individuals with strategies to cope with their perceptions of stigma.     

Short-term effects of a multi-disciplinary cardiac rehabilitation programme on psychological well-being, exercise capacity and weight in a sample of obese in-patients with coronary heart disease: a practice-level study

Given that many patients referred to cardiac rehabilitation (CR) are obese, diet therapy, exercise training, nutritional and psychological counselling for both obesity and psychological distress should be included as important components in all CR programmes. In this practice-level, observational study we evaluated the short-term within-group effects of a four-week multi-factorial inpatient CR programme specifically addressed to weight loss, fitness improvement and psychological health increase on 176 obese in-patients with coronary heart disease (CHD). Outcome measures were exercise capacity measured with estimated metabolic equivalents (METs), body mass index (BMI) and psychological well-being (PGWBI). Results show statistically significant improvements in all the PGWBI sub-scales and total score, except in general health (p = 0.393). No moderation effects were found for BMI class, age, diabetes and ejection fraction (EF). METs significantly increased by 30.3% (p < 0.001) and BMI decreased by 1.37 points (p < 0.001). Significant correlations were found between BMI and weight reductions with PGWBI anxiety and total score improvements. This multi-disciplinary CR programme including diet therapy, exercise training and psychological counselling provides indication for short-term within-group effectiveness on functional exercise capacity, BMI and PGWBI in a sample of obese in-patients with CHD. However, controlled studies are needed to corroborate the results we found.     

Disengaging the negative priming mechanism in location tasks

In a location-based negative priming task, targets that appear at locations that were previously occupied by distractors are typically responded to more slowly than are targets that appear at formerly unoccupied positions. In the present study, we attempted to disengage the location-based negative priming mechanism by presenting visual cues indicating the most likely location of the upcoming target. The first experiment showed that 75% cue-target validity was not sufficient to affect the negative priming mechanism. However, the second experiment demonstrated that a much reduced, but not eliminated, negative priming effect occurred with 100%cue-target validity. These findings are similar to those found with inhibition of return, suggesting that location-based inhibition of return effects and location-based negative priming effects may share a common inhibition mechanism.