Biopsychosocial and Physical Correlates of Middle School Boys’ and Girls’ Body Satisfaction

Boys (n?=?629) and girls (n?=?659) in grades 6 through 8 in the U.S. completed self-report measures of pubertal development, weight pressures, internalization, social appearance comparison, self-esteem, depression, and physical self-concept, and objective measures of cardiorespiratory fitness and BMI. Regression analyses revealed that gender moderated the strength of the relationships between the variables and body satisfaction (girls—Adj. R ²?=?.49; boys—Adj. R ²?=?.20), though BMI, pressures, physical self-concept, and self-esteem were related significantly for each gender. Girls were most affected by pressures related to weight loss, whereas gaining weight and musculature was most salient for boys. Future research needs to examine longitudinally how these variables contribute to the development of body satisfaction.     

Reach/Grasp Times with Lateral Reach Obstructions

When moving to grasp an object having adjacent obstacles that limit the space available for placing the fingers, the time for the reach/grasp is dependent on the distance of reaching and the space available for finger placement. Here we model the time taken in terms of these variables and develop mathematical models for the reach and grasp phases of the task and the location of obstacles. Data show that the movement to the target may be made under visual control and that, when the obstacles are close to the target object, a visually-controlled movement is made that is modeled by a modified form of Fitts' law. The time for the two components of the reach/grasp appear to be independent and linearly additive.     

Parenting and toddler self-regulation in low-income families: What does sleep have to do with it?

Toddlerhood is a sensitive period in the development of self-regulation, a set of adaptive skills that are fundamental to mental health and partly shaped by parenting. Healthy sleep is known to be critical for self-regulation; yet, the degree to which child sleep alters interactive child–parent processes remains understudied. This study examines associations between observed parenting and toddler self-regulation, with toddler sleep as a moderator of this association. Toddlers in low-income families (N = 171) and their mothers were videotaped during free play and a self-regulation challenge task; videos were coded for mothers’ behavior and affect (free play) and toddlers’ self-regulation (challenge task). Mothers reported their child's nighttime sleep duration via questionnaire. Results revealed significant Sleep × Maternal Negative Affect and Sleep × Maternal Negative Control interactions. Children who did not experience negative parenting had good self-regulation regardless of their nighttime sleep duration. For children who did experience negative parenting, self-regulation was intact among those who obtained more nighttime sleep, but significantly poorer among children who were getting less nighttime sleep. Thus, among children who were reported to obtain less nighttime sleep, there were more robust associations between negative parenting and poorer self-regulation than among toddlers who were reported to obtain more sleep.     

Considerations on medical training for gender-affirming care: Motivations and perspectives

Abstract

Background: Many transgender individuals lack access to needed medical care, partially due to a lack of providers with experience in gender-affirming healthcare.

Aims: The purpose of this study was to identify professional motivators for medical providers seeking out training in gender-affirming care and to define which training experiences were most beneficial to their career development. By identifying experienced providers’ recommendations on which training modalities are most relevant to their practice, we aim to suggest future directions for medical education initiatives to effectively expand the transgender care workforce.

Methods: A voluntary cross-sectional electronic survey was distributed through professional listservs and publicly-available referral lists to interdisciplinary providers who self-identified as having experience in providing care to transgender individuals.

Results: One hundred and fifty-three (n?=?153) physicians, physician assistants, or advance-practice nurses responded to the survey. The majority (96.7%) were located in the United States, representing 37 states. The two most common motivators for seeking out training in gender-affirming care were filling a need in the community (73.0%) and/or having met a transgender-identified person in a clinical setting who requested care (63.8%). While many providers gained skills independently (57.3%), the two most commonly-available training opportunities were professional conferences (57.3%) and mentorship (41.3%). Respondents were most likely to recommend that others in their field be trained via structured clinical experience (e.g., a rotation or longitudinal exposure during training), rather than additional didactic training.

Discussion: This study identifies key high-yield training methodologies which could improve access to quality gender-affirming healthcare. Through integration of structured clinical experiences during training, direct clinical mentorship, and professional development at conferences on gender-affirming care, the workforce of welcoming and prepared healthcare providers for transgender patients will increase. This will lead to a tremendous improvement on access to gender-affirming care in our communities.