Increased Risk of Suicidal Ideation in Smokers and Former Smokers Compared to Never Smokers: Evidence from the Baltimore ECA Follow‐Up Study

The incidence rate of suicidal ideation among current and former smokers versus never smokers is not known. In this study, the age‐adjusted incidence of suicidal ideation was highest among current smokers, followed by former, then never smokers. The adjusted hazard for suicide ideation was 2.22 (95%CI = 1.48, 3.33) and 1.19 (95%CI = 0.78, 1.82) for current and former smokers, respectively, compared to never smokers. Results indicate that current smokers have increased risks of suicidal ideation above and beyond the risk for never and former smokers regardless of age, gender, history of depressive disorder or anxiety symptoms, and alcohol abuse/dependence. Smoking cessation might be beneficial for some suicide prevention efforts.     

Masculinity,femininity, academic performance,and health: Further evidence concerning the androgyny controversy1

Spence and Helmreich's (1978) claim that individual differences in four components of achievement motivation (mastery, work, competitiveness, and personal unconcern) are attributable to masculinity and femininity rather than to gender was generally supported, with one exception: Masculinity was associated with competitiveness for males but not for females. Furthermore, competitive women were more likely than noncompetitive women to have mental and physical health problems, but there was no such difference for males. In general, masculinity emerged as a beneficial constellation of traits for both males and females, correlating negatively with achievement conflicts and stress symptoms, and positively with mastery and work. Femininity, on the other hand, appeared to be a detrimental cluster of traits for both sexes, at least in terms of academic performance and health. Implications for the controversial concept of androgyny were discussed, and it was suggested that, in the future, research inspired by an ideal conception of adult behavior confront the ideal directly rather than describe it in terms of the traditional concepts of masculinity and femininity. Any such research effort will have to deal with the pivotal role of competitiveness.     

Marriage Between Jews and Non-Jews: Counseling Implications

This article considers the problems arising from cultural and religious differences in Jewish-non-Jewish marriage, briefly reviews the literature, and offers suggestions for assessment and treatment. Treatment requires dealing with family systems dynamics while educating the couple about the role of cultural difference in their relationship. The goal of treatment is to assist the couple to view their differences flexibly and use them to their advantage while they develop a blended culture that satisfies their individual and partnership needs, including the religious and spiritual.     

Changes in HIV treatment beliefs and sexual risk behaviors among gay and bisexual men, 1997-2005.

OBJECTIVE: Beliefs about HIV treatment effectiveness and the impact of HIV treatments on HIV transmission risks were initially related to sexual risk-taking in the late 1990s when multidrug HIV treatments first became available. This study examined changes in beliefs about the effects of HIV treatment for preventing HIV transmission and their association to sexual risk behaviors between the years 1997 and 2005. DESIGN: Anonymous surveys were administered to a convenience sample of gay and bisexual men attending a large community event in Atlanta, Georgia in 1997 (N = 498) and again at the same community event in 2005 (N = 448). Analyses were performed for men living with HIV/AIDS and for men who have not been diagnosed with HIV/AIDS. MAIN OUTCOME MEASURES: Rates of unprotected anal intercourse in the previous 3 months. RESULTS: There were significant increases in high-risk sexual practices that coincided with increased beliefs that HIV treatments can reduce the chance of transmitting HIV. However, optimistic beliefs about the health benefits of HIV treatments decreased over the 8 years and were not related to risk behaviors. CONCLUSIONS: Beliefs about how HIV treatments impact HIV infectiousness remain associated with HIV transmission risk behavior and interventions targeting at-risk as well as HIV-positive men who have sex with men must directly address these beliefs and perceptions.     

Gender differences in the development of relationships during late adolescence

Until recently, inadequate measures of affiliation need and relationship closeness hindered investigations into the social development of adolescents. For example, assumptions about gender differences (Douvan & Adelson, 1966; Gilligan, 1982) and age-related changes (Dunphy, 1972; Erikson, 1968; Newman & Newman, 1976) in affiliation need and relationship closeness have remained virtually untested. To better understand adolescent social behavior and test these assumptions, recently developed measures of affiliation need and interpersonal closeness were used to examine seventy-four 18- to 20-year-olds. In support of Erikson's theory, need for social comparison declined with age for both sexes. However, in support of Gilligan's theory, not only were females more attached to their partners, but these gender differences were most pronounced for the 18-year-olds. Finally, Dunphy's (1972) assumption that adolescents' need for stimulation peaks around age 18 or 19 and then declines, and Newman and Newman's (1976) position that need for emotional support declines in later adolescence, held true--but only for females.     

Emerging perspectives on the structure and function of attitude strength

For more than 20 years, scholars have used the term “attitude strength” to refer to the durability and impactfulness of attitudes, and a large literature attests to the important leverage that this concept offers for understanding and predicting behaviour. Despite its prominence, however, a number of fundamental questions remain regarding the structure and function of attitude strength. In this chapter we draw on a wide range of evidence to clarify the nature of attitude strength. Rather than conceiving of attitude strength as a meaningful psychological construct, we argue that it is better conceptualised as an umbrella term that refers in only the most general way to multiple, separable classes of attitude outcomes, instigated by different antecedents and produced by distinct psychological processes. Although strong attitudes share a set of general qualities—resistance to change, persistence over time, impact on thought and behaviour—there are many distinct routes by which attitudes come to possess these qualities, and many diverse ways in which these qualities manifest themselves. Our analysis shifts the focus away from the structural properties of attitude strength and towards a fuller appreciation of the distinct sources from which attitudes derive their strength. We argue in particular for the value of attending more closely to the social bases of attitude strength, and we illustrate the value of this approach by reviewing several lines of research.     

Self-Efficacy,Decision-Making,and Stages of Change: An Integrative Model of Physical Exercise1

Exercise has important health benefits but a large proportion of the population is physically inactive. We examined the stages of readiness to exercise and their relationship to self-efficacy, the costs and benefits of exercising, and self-report of physical activity in a sample of Rhode Island worksites. Using a three-step model-building approach, exploratory principal components analyses were followed by an examination of the stages of change model with confirmatory structural equation modeling procedures. The model was then examined with longitudinal data. Confirmatory and longitudinal analyses showed an excellent tit between the model and the data. Results indicated that the costs and benefits of exercise and self-efficacy for exercise were related to physical activity only indirectly, through the mediation of stage of readiness to exercise. Structural modeling fit indices revealed that much of the variation and covariation in physical activity was explained by the model. There is the potential to enhance the impact of exercise interventions, by targeting them so as to address factors related to these different stages of readiness.