Differences in Emotion Regulation Difficulties Across Types of Eating Disorders During Adolescence

Emotion regulation appears to play a key role in eating disorders. However, prior attempts to associate specific emotion regulation abilities with specific types of eating disorders resulted in inconsistent findings. Moreover, far less is known about emotion regulation in eating disorders during adolescence, a critical period of emotional development. The current study addresses this gap, comparing emotion regulation characteristics between adolescents with restrictive types of eating disorders and those with binge eating or purging types of eating disorders. Ninety-eight adolescents with eating disorders (49 with restrictive and 49 with binge eating/purging eating disorders) completed a set of questionnaires including the Difficulties in Emotion Regulation Scale (DERS). The results revealed that binge eating/purging types of eating disorders were associated with greater difficulties in a variety of emotion regulation dimensions including impulse control, goal-directed behavior and access to effective emotion regulation strategies. Awareness and clarity of emotions were also worse in the binge eating/purging types of eating disorders, but this difference did not remain when comorbid psychopathology measures were controlled for. Moreover, the emotion regulation profile of adolescents with anorexia nervosa-binging/purging type was more similar to that of adolescents with bulimia nervosa than to that of adolescents with anorexia nervosa-restrictive type. While both restrictive and binge eating/purging eating disorders have been associated with emotion regulation difficulties, the current study shows that the presence of binge eating or purging episodes is linked with greater severity of emotion regulation deficits among adolescents with eating disorders.     

Overcoming a Legacy of Conflict: The Repercussive Effects of Stress and Intergenerational Transmission of Trauma Among Vietnamese Americans

The modern narrative of Vietnamese people is often strongly associated with events of the 20th century, such as the Vietnam War, but a legacy of strife in Southeast Asia spans many centuries. Enduring stress and trauma has pernicious psychological and physiological repercussions that have affected first and later generations of Vietnamese American refugees. To contextualize the present-day narrative, we review the history of Vietnam and the contemporary refugee experience in the United States. We then examine more proximal spheres of influence, including community and family. Finally, we review individual experiences of stress and trauma. We present recommendations to inform individual, group, family, and community-based counseling interventions, as well as recommendations for future research.     

A Method for Tracking Implementation Strategies: An Exemplar Implementing Measurement-Based Care in Community Behavioral Health Clinics

Implementation experts suggest tailoring strategies to the intended context may enhance outcomes. However, it remains unclear which strategies are best suited to address specific barriers to implementation, in part because few measurement methods exist that adhere to recommendations for reporting. In the context of a dynamic cluster randomized trial comparing a standardized to tailored approach to implementing measurement-based care (MBC), this study aimed to (a) describe a method for tracking implementation strategies, (b) demonstrate the method by tracking strategies generated by teams tasked with implementing MBC at their clinics in the tailored condition, and (c) conduct preliminary examinations of the relation between strategy use and implementation outcomes (i.e., self-reported fidelity to MBC). The method consisted of a coding form based on Proctor, Powell, and McMillen (2013) implementation strategy reporting guidelines and Powell et al.’s (2012) taxonomy to facilitate specification of the strategies. A trained research specialist coded digitally recorded implementation team meetings. The method allowed for the following characterization of strategy use. Each site generated 39 unique strategies across an average of six meetings in five months. There was little variability in the use of types of implementation strategies across sites with the following order of prevalence: quality management (50.00%), restructuring (16.53%), communication (15.68%), education (8.90%), planning (7.20%), and financing (1.69%). We identified a new category of strategies not captured by the existing taxonomy, labeled “communication.” There was no evidence that number of implementation strategies enacted was statistically significantly associated with changes in self-reported fidelity to MBC—however, financing strategies were associated with increased fidelity. This method has the capacity to yield rich data that will inform investigations into tailored implementation approaches.     

Religion in the UK: An Overview of Equality Statistics and Evidence Gaps

Social survey data is essential to measuring equality, for the assessment of change over time, and to the evaluation of the impact of new policies. In this article we have identified and evaluated the statistical data and evidence on religion in the UK in relation to key policy areas, such as employment, housing, health, education, and criminal justice. For each data source, we consider definitions, data collection, coverage of issues, sample size, and data access. We examine the multi-faceted nature of religion and consider the links between religious and ethnic identities. We also outline models that can link religious identity to equality outcomes (and hence potentially allow the measurement of discrimination) and identify the evidence gaps. The UK has one of the most religiously diverse populations in the European Union, both in terms of diversity within Christianity and between different world religions. However, while religion is increasingly recognised, in both legal and policy terms, as an important equality issue, the data on the dynamics of religion in the UK are limited. The inclusion of a new question on religion in the 2001 Census in England, Scotland, and Wales is a major new source of data, but data are limited regarding the role and significance of religion in people's everyday lives, particularly among ethnic minority populations. It is clear that there is a need for a far more comprehensive and rounded approach to data on religion in the UK, which takes account of its multi-dimensional nature.     

A historical and contemporary overview of Asian American and Pacific Islander experiences: Immigration, racialization, and liminality

When various contemporary issues of crime, violence, and gangs confronting Asian American and Pacific Islander (AAPI) communities are presented, they are often explained from an ahistorical perspective. This leads to a decontextualized understanding of the communities and the challenges they face. The first part of this article will provide a general historical overview of selected AAPI communities that examines salient aspects of immigration and racialization, resulting in generations living a circumscribed life on the margins of mainstream society. The balance of the article will draw on U.S. Census datasets from 1990 to 2000 to capture the size and growth of Asian American and Pacific Islander communities, and provide population, language, citizenship, education, income, and poverty data to contextualize emerging crime, violence, and gang issues that affect these communities. Data will show commonalities across AAPI communities, but will also reveal information specific to AAPI subgroups, shedding more light on the state of AAPI communities and their diversity.     

End state copying by humans (Homo sapiens): implications for a comparative perspective on cumulative culture

It has been proposed that the uniqueness of human cumulative culture may be attributable to humans' greater orientation toward copying the process of behavior (imitation), as compared with the products (emulation), resulting in particularly high fidelity transmission. Following from previous work indicating that adult human participants can exhibit cumulative learning on the basis of product copying alone, we now investigate whether such learning involves high fidelity transmission. Eighty adult human (Homo sapiens) participants were presented with a task previously shown to elicit cumulative learning under experimental conditions, which involved building a tower from spaghetti and modeling clay. Each participant was shown two completed towers, ostensibly built by previous participants, but actually built to prespecified designs by the experimenter. This end state information was provided either in the form of photographs, or the presence of actual towers. High fidelity matching to these end states was apparent in both demonstration conditions, even for a design that was demonstrably suboptimal with regard to the goal of the task (maximizing tower height). We conclude that, although high fidelity transmission is likely to be implicated in cumulative culture, action copying is not always necessary for this to occur. Furthermore, since chimpanzees apparently copy behavioral processes and well as products, and also transmit behavior with high fidelity, the stark absence of unequivocal examples of cumulative culture in nonhumans may be attributable to factors other than imitative ability.     

Accuracy of perceptual and acoustic methods for the detection of inspiratory loci in spontaneous speech

The present study investigates the accuracy of perceptually and acoustically determined inspiratory loci in spontaneous speech for the purpose of identifying breath groups. Sixteen participants were asked to talk about simple topics in daily life at a comfortable speaking rate and loudness while connected to a pneumotach and audio microphone. The locations of inspiratory loci were determined on the basis of the aerodynamic signal, which served as a reference for loci identified perceptually and acoustically. Signal detection theory was used to evaluate the accuracy of the methods. The results showed that the greatest accuracy in pause detection was achieved (1) perceptually, on the basis of agreement between at least two of three judges, and (2) acoustically, using a pause duration threshold of 300 ms. In general, the perceptually based method was more accurate than was the acoustically based method. Inconsistencies among perceptually determined, acoustically determined, and aerodynamically determined inspiratory loci for spontaneous speech should be weighed in selecting a method of breath group determination.     

Informed consent content in research with survivors of psychological trauma

One hundred eighty trauma-focused dissertations published in the United States were examined to determine the variation in risk language used in the informed consents. Level of risk proposed in the informed consents was poorly related to ratings of risk by graduate coders and virtually unrelated to vulnerability factors such as the age of participants and clinical or nonclinical status. Risk language in the informed consents was markedly elevated over that rated by the coders, with more than one third of the dissertations presenting the risk of participation as severe (i.e., associated with substantial risk of reactivity and lasting discomfort). These statements are not in keeping with the literature and raise ethical concerns in relation to (a) nocebo effects, (b) distortion of correlational findings, and (c) discouragement of participants from disclosing trauma in other settings.