Step-down approach to behavioural weight loss treatment: a pilot of a randomised clinical trial

Background: In a stepped-down approach, patients begin with a more intensive treatment and are stepped down to a less intensive treatment based on achieving treatment goals. This study compared a standard behavioural weight loss programme (BWLP) to a stepped-down approach to treatment.

Methods: Fifty-two overweight/obese adults (Age: M?=?47?years, SD?=?13.5; female?=?67%) participated in an 18-week BWLP. Half of them were randomly assigned to be stepped down from weekly group meetings based on completion of weight loss goals (3%) every 6?weeks, while the other half remained in their groups regardless of weight loss.

Results: There was a significant difference favouring the BWLP in the proportion of participants who met or exceeded their 3% weight loss goal during the first six weeks. While not statistically significant by the end of treatment, the BWLP participants lost nearly 3% more body weight than stepped-down participants (SC?=?4.9% vs. BWLP?=?7.8%; p?=?.10). Greater self-monitoring was associated with increased likelihood of stepped-care eligibility and higher percent weight loss at the end of treatment (p?<?.01).

Conclusion: There was little evidence to support the efficacy of the stepped-down approach for behavioural weight loss treatment employed in this investigation.     

Importance of race,gender, and personality in predicting academic performance

Substantial research has demonstrated that African American students tend to perform more poorly than their White counterparts in terms of academic performance (e.g., Bali & Alvarez). However, this knowledge has proven insufficient in highlighting a clear path for countering this gap in academic achievement. The present study (n = 719) provides evidence that race (African Americans and Whites) interacts with personality in predicting academic performance (i.e., grade point average) in a college setting and that the pattern of effects differs for men and women. Agreeableness reduced race effects for women, and extraversion and openness reduced race effects for men. Our results suggest new avenues for educators and policymakers to consider when attempting to reduce this performance gap.     

Discrimination of English and French orthographic patterns by biliterate children

We investigated whether young English–French biliterate children can distinguish between English and French orthographic patterns. Children in French immersion programs were asked to play a dictionary game when they were in Grade 2 and again when they were in Grade 3. They were shown pseudowords that contained either an English spelling pattern or a French spelling pattern, and they were asked to decide whether each pseudoword should go in an English dictionary or a French dictionary if it became a real word. Comparison groups of monolingual English children, monolingual French children, and English–French bilingual university students were also tested on the task. French immersion students in both grades were above chance in discriminating between the two types of pseudowords but were well below adult performance on the task. Measures obtained in kindergarten showed that early print knowledge had some ability to predict later ability to discriminate between the orthographic patterns of the two languages. Further analyses indicated that exposure to print in each language in Grades 1 to 3 was strongly related to discrimination performance. The findings are interpreted as being consistent with the statistical learning hypothesis.     

“Every Couple Has Their Fights … ”: Stigma and Subjective Narratives of Verbal Violence

Drawing on thirty in-depth interviews with individuals who have experienced verbal violence in intimate and family relationships, this article utilizes constructivist grounded theory to examine the tensions inherent in representations of verbal violence in the interview context. The authors find that participants discursively construct verbal violence as a normalized experience, discuss it as an escalating problem, and retrospectively define it as an intolerable form of abuse. These discursive constructions are related to social understandings of verbal violence as both a normal experience (fighting) and a stigmatized behavior (abuse). Normalization and defensive othering are discussed as techniques of identity management in light of the stigma attached to being a victim of abuse.     

Resilience in Community: A Social Ecological Development Model for Young Adult Sexual Minority Women

Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model among young adult SMW, testing whether identity risk factors or outness to family interacted with family rejection to predict community connectedness and collective self‐esteem. Lesbian and bisexual women (N = 843; 57 % bisexual) between the ages of 18–25 (M = 21.4; SD = 2.1) completed baseline and 12‐month online surveys. The sample identified as White (54.2 %), multiple racial backgrounds (16.6 %), African American (9.6 %) and Asian/Asian American (3.1 %); 10.2 % endorsed a Hispanic/Latina ethnicity. Rejection ranged from 18 to 41 % across family relationships. Longitudinal regression indicated that when outness to family increased, SMW in highly rejecting families demonstrated resilience by finding connections and esteem in sexual minority communities to a greater extent than did non‐rejected peers. But, when stigma concerns, concealment motivation, and other identity risk factors increased over the year, high family rejection did not impact community connectedness and SMW reported lower collective self‐esteem. Racial minority SMW reported lower community connectedness, but not lower collective self‐esteem. Families likely buffer or exacerbate societal risks for ill health. Findings highlight the protective role of LGBTQ communities and normative resilience among SMW and their families.     

The Experience of Vicarious Posttraumatic Growth in Mental Health Workers

In order to add to the body of research that examines the phenomenon of vicarious posttraumatic growth, this study sought to illuminate the lived experiences of mental health professionals who work on a day-to-day basis with multiply traumatized children and adolescents and, as a result, experience measurably high levels of vicarious trauma and compassion satisfaction. The findings from this qualitative study support positive vicarious experiences derived from trauma work and expose the pathologically focused nature of the profession.     

A feel for disgust: tactile cues to pathogen presence

One function of disgust is to act as a pathogen-avoidance system preventing contact with substances harbouring disease-causing organisms. Avoiding pathogens, however, requires systems for their detection. Whereas previous research on disgust has focused on visual and olfactory detection cues, one largely overlooked modality is touch. Here we examine whether tactile cues play a role in pathogen detection and activate the disgust response. Participants briefly touched and then rated stimuli varying along dimensions predicted to correlate with pathogen presence: moisture, temperature, and consistency. Results show that participants rated wet stimuli and stimuli resembling biological consistencies as more disgusting than dry stimuli and stimuli resembling inanimate consistencies, respectively. No main effect for temperature was found. We report on predicted interactions, the relationship between disgust ratings and perceived infection risk, and individual differences. Taken together, these data suggest that touch is an important modality providing information for disgust-related processes.     

Kin affiliation across the ovulatory cycle: females avoid fathers when fertile

A commonplace observation in humans is that close genetic relatives tend to avoid one another as sexual partners. Despite the growing psychological research on how antierotic attitudes develop toward relatives, few studies have focused on actual behavior. One prediction, stemming from parental investment theory, is that women should be more vigilant of reproduction-compromising behaviors, such as inbreeding, during times of peak fertility than during times of low fertility. Indeed, females of other species avoid interactions with male kin when fertile-but the corollary behavior in humans has yet to be explored. Here we fill this gap. Using duration and frequency of cell-phone calls, an objective behavioral measure that reflects motivations to interact socially, we show that women selectively avoid interactions with their fathers during peak fertility. Avoidance specifically targeted fathers, which rules out alternative explanations. These data suggest that psychological mechanisms underlying mating psychology regulate sexual avoidance behaviors, and in women they fluctuate according to fertility status.     

Forensic Interviewing Aids: Do Props Help Children Answer Questions About Touching?

The belief that props help children report abuse has fostered the widespread use of anatomical dolls and body diagrams in forensic interviews. Yet studies involving alleged abuse victims, children who have experienced medical examinations, and children who have participated in staged events have failed to find consistent evidence that props improve young children's ability to report key information related to bodily contact. Because props elevate the risk of erroneous touch reports, interviewers need to reconsider the belief that props are developmentally appropriate in forensic interviews, and researchers need to explore new approaches for eliciting disclosures of inappropriate touching.