Can the onset of type 2 diabetes be delayed by a group-based lifestyle intervention? A randomised control trial

This study was a randomised control trial with a waiting control group. It was designed to evaluate the effectiveness of a 6-month, group-based diabetes prevention programme, The Healthy Living Course and assess whether participation in the programme led to changes in modifiable risk factors for type 2 diabetes among an already at-risk pre-diabetic population. Individuals designated at risk for diabetes by their general practitioners (GPs) were screened using an Oral Glucose Tolerance Test. Volunteers (N?=?307) with pre-diabetes were assigned to an intervention or wait-control group in the ratio of approximately 2?:?1. The sample was pre-tested on biochemical, anthropometric and self-report behavioural, cognitive and mood variables and post-tested either at the end of the educational/support-based lifestyle programme or the end of the wait period. The intervention group significantly improved their diabetes knowledge, motivation to change, positive affect, healthy eating and activity levels and showed significantly greater reductions in weight, body mass index, waist circumference, diastolic blood pressure and fasting plasma glucose in comparison with controls. The intervention group also changed their diagnostic status from pre-diabetes to non-diabetes at a greater rate than the wait group (43% vs. 26%) who received standard care from their GPs.     

Children's concepts of illness: Towards an alternative to the “Stage” approach

Abstract

Research concerned with the development of children's beliefs about health and illness has practical implications for educating children about their illness, treatment and hospital admission. Previous research has suggested that beliefs about health and illness develop through a series of systematic stages, and that children are unable to understand explanations in advance of their own cognitive level. Alternative theories which give greater emphasis to the role of experience are considered, and some implications for clinical practice drawn.     

Intrusive and avoidant ideation among females pursuing infertility treatment

Abstract

It was shown that infertility and its treatment constitute a stressful experience for women, reflected particularly in disturbing intrusive ideation about the stress source. Infertility patients reported levels of intrusive ideation significantly higher than routine gynecologic patients and not significantly different from levels of psychiatric outpatients being treated for stress reactions to traumatic events. Intrusive ideation also predicted the degree of self-reported infertility-specific distress and dysfunction, further clarifying the key role of such ideation in the experience. Finally, as hypothesized, the frustration level of the treatment experience (as indexed by the number of infertility treatment methods attempted) predicted avoidant ideation. Implications for managing the psychological distress and disruption associated with the infertility treatment experience were discussed.     

Stress management and exercise training in chronic stable angina pectoris

Abstract

Patients suffering from chronic stable angina pectoris were allocated to one of four conditions: stress management training, exercise training, combined stress management and exercise, or waiting list control. Patients undertook an exercise tolerance test before and after intervention, and at follow-up assessment eight weeks later. They also kept a daily diary of the frequency, duration and intensity of all angina episodes, and recorded the amount of medication taken, for the week preceding and the week following intervention, as well as for the eighth week of follow-up. Patients who undertook the combined stress management and exercise programme faired best. They showed sustained gains in achieved workload on the exercise tolerance test at no cost in terms of ischaemia, as measured by ST-segment depression. They also registered less frequent angina attacks following intervention than the exercise only and waiting list control patients, and reported reduced reliance on medication; the latter benefit was sustained at follow-up. These clinical dividends invite further study of combined stress management and exercise training in angina pectoris.     

Factorial validity of the Behavior Rating Inventory of Executive Function (BRIEF)-Teacher form

Deficits in executive function (self-regulatory mechanisms) have been linked with many childhood disorders including attention deficit/hyperactivity disorder (ADHD), autism spectrum disorder, and conduct disorder. Executive functioning is typically assessed by individually administering performance-based measures in a clinical setting. However, performance-based methods are inefficient for school psychologists. A more feasibly implemented measure for applied settings is the Behavior Rating Inventory of Executive Function (BRIEF), but researchers have raised questions about the internal validity and the proposed factors. In this study, we examined the factor structure of the teacher form of the BRIEF in a sample of 2,044 general education elementary students and 131 teachers in a multilevel design. Results revealed support for a model with three factors at Level 1 and one general factor at Level 2. The results of our study do not support the current two-factor model of the published BRIEF protocol.     

Diminished testing benefits in young adults with attention-deficit hyperactivity disorder

Memory retrieval has been shown to enhance the long-term retention of tested material; however, recent research suggests that limiting attention during retrieval can decrease the benefits of testing memory. The present study examined whether testing benefits are reduced in young adults with attention-deficit hyperactivity disorder (ADHD). College students with and without ADHD read three short prose passages, each followed by a free recall test, a restudy period or a distractor task. Two days later participants recalled the passages. Although participants without ADHD did not show a significant benefit of testing over restudying, testing did produce recall benefits relative to not taking a test. These testing benefits were diminished in participants with ADHD, who did not show any advantage of testing over either restudying or no test. The absence of testing benefits in the ADHD group is likely due in part to decreased recall on the initial test. These findings have implications for improving educational practices among individuals with ADHD and also speak to the need to examine individual differences in the effectiveness of testing as a learning strategy.     

Incongruence between workload and occupational norms for time pressure predicts depressive symptoms

Workplace aggression poses a significant challenge to organizations due to its potential impact on employees' mental and physical well-being. Using two studies, this article investigates whether emotion regulation could alleviate the negative effects of exposure to workplace aggression on employees' experience of strain, among social workers (N = 77) and emergency services personnel (N = 70). As predicted from coping theories of emotion regulation, Studies 1 and 2 showed that using the emotion regulation strategy of reappraisal during interactions with individuals from inside the organization (e.g., coworkers or managers) attenuated the workplace aggression–strain link. Conversely, but consistent with emotional labour theories of emotion regulation, engaging in reappraisal and suppression during interactions with legitimate outsiders (e.g., clients or patients) strengthened the workplace aggression–strain link. The findings have implications for both theory and practical interventions regarding workplace aggression.     

Research on the diaconate: a retrospective view of promise and challenge

This editorial article briefly reviews retrospectively the research undertaken by the Anglo-Nordic Diaconal Research Project (ANDREP), which has been concerned primarily with the Churches of Sweden and Norway, the Evangelical Lutheran Church of Finland and the Church of England, with reference to ecclesiology and praxis in other churches, and to concommitant research and ecumenical developments elsewhere, in relation to the diaconate. From the publication of the WCC Faith and Order Paper on Baptism, Eucharist and Ministry (BEM, 1982) and throughout the period of the formation of the Porvoo communion of Churches, there appeared to be great promise for the renewal of the deacon's ministry. However, it became apparent that, in the Church of England at least, renewal of the diaconate was not generally regarded principally as an end in itself but as a means of advancing the cause of women's ordination to priesthood. Furthermore, mono-presbyterate and the variety of meanings given to the term ‘diakonia’ have presented a number of problems. Fundamental principles of ecclesiology pertaining to the diaconate also were – and remain – unknown or disregarded in much church practice. A number of challenges which consequently arise for the churches have been identified over time and are addressed in this issue of the International Journal for the Study of the Christian Church (IJSCC), vol. 13, no. 4 (2013), on the theme of ‘The Ministry of the Deacon in Times of Ecumenical Reconfiguration’.     

Dyadic Flexibility in Early Parent–Child Interactions: Relations with Maternal Depressive Symptoms and Child Negativity and Behaviour Problems

Lower levels of parent–child affective flexibility indicate risk for children's problem outcomes. This short‐term longitudinal study examined whether maternal depressive symptoms were related to lower levels of dyadic affective flexibility and positive affective content in mother–child problem‐solving interactions at age 3.5 years (N = 100) and whether these maternal and dyadic factors predicted child emotional negativity and behaviour problems at a 4‐month follow‐up. Dyadic flexibility and positive affect were measured using dynamic systems‐based modelling of second‐by‐second affective patterns during a mother–child problem‐solving task. Results showed that higher levels of maternal depressive symptoms were related to lower levels of dyadic affective flexibility, which predicted children's higher levels of negativity and behaviour problems as rated by teachers. Mothers' ratings of child negativity and behaviour problems were predicted by their own depressive symptoms and individual child factors, but not by dyadic flexibility. There were no effects of dyadic positive affect. Findings highlight the importance of studying patterns in real‐time dyadic parent–child interactions as potential mechanisms of risk in developmental psychopathology. Copyright © 2012 John Wiley & Sons, Ltd.