Anxiety,depression, and health-related quality of life in aging people living with HIV compared to diabetes patients and patients with minor health conditions: a longitudinal study

HIV infection has evolved from a fatal to a treatable condition, leading to an increase in the rate of elderly People Living with HIV (PLWH). However, little is known about the psychosocial burden of elderly PLWH. Thus, the aim of this longitudinal multi-center cohort study was to investigate whether elderly PLWH experience more anxiety and depression and reduced health related quality of life (HRQOL) compared to elderly patients with other chronic conditions. PLWH were compared to diabetes patients (DM) and patients with minor health conditions (MHC), e.g. patients with hypertension or allergic conditions. All patients were over 50 years old. Anxiety and depression (HADS) as well as HRQOL (SF-36) were assessed at baseline and after 12 months. 218 PLWH, 249 DM and 254 MHC were included. At baseline, the study groups did not differ in anxiety, depression, and physical HRQOL. However, PLWH indicated lower mental HRQOL than DM and MHC patients (p = 0.001). We did not obtain any moderating effects showing a differential effect of patient characteristics on anxiety, depression, and HRQOL in the three patient groups. At follow-up, the level of anxiety, depression, and HRQOL did not change significantly. The prevalence of anxiety ranged between 27 and 35%, and that of depression between 17 and 28%. Thus, the results of our investigation tentatively suggest that the psychosocial adaptation to HIV among elderly PLWH resembles those of other chronic diseases. There may be some subtle impairments, though, as PLWH experienced lower mental HRQOL.     

Timing of Naturalization Among US Immigrants

When do foreign-born individuals acquire US citizenship? Previous studies hypothesized that those eligible for citizenship would choose to pursue naturalization early on in order to enjoy the benefits. I test this hypothesis using newly available information on the timing of naturalization from the American Community Survey (ACS) and I find supporting evidence. Controlling for observable characteristics in a hazard model reveals an interesting, nonlinear pattern of importance for the time spent in the USA. While the duration of stay is positively associated with naturalization, it is increasing at a decreasing rate. The likelihood of naturalization increases for approximately the first 20 years and then starts to decline.     

An Investigation of Religion and Spirituality of Sexual Minorities in the United States: Exploring Perceptions,Intrinsic Religiosity,and Outness to Religious Communities

We investigated how sexual minority participants in the United States (N = 217; M age = 36.36 years) viewed organized religion and their relationships with a higher power. In addition, we examined the associations between levels of outness in religious communities, internalized heterosexism (IH), intrinsic religiosity, and depression. Open-ended responses revealed that views of organized religion fell into three categories—negative (57.9%), positive (9.1%), and ambivalent (33%)—and participants reported a variety of relationships to a higher power—existing relationship (61.5%), no relationship (19%), fractured relationship (4.6%), and some who felt unsure (10.8%). Participants with greater outness to a religious community reported less IH and higher intrinsic religiosity. Also, outness to a religious community moderated the association between IH and depression, such that there was not a significant association between IH and depression for individuals with low levels of outness. However, at average to high levels of outness, there was a significant association between IH and depression.     

Distinctively Political Normativity in Political Realism: Unattractive or Redundant

Ethical Theory and Moral Practice - Political realists’ rejection of the so-called ‘ethics first’ approach of political moralists (mainstream liberals), has raised concerns about...     

Spiritual care in the last phase of life: a comparison between the Church of Sweden and the Church of Finland

This article deals with the Church of Sweden and the Church of Finland and their spiritual support for parishioners during their end-of-life phase. Support for the dying seemed uncommon in both countries, while most parishes offered support for the bereaved. The Finnish respondents expressed more confidence in their spiritual role than did the Swedes. This may have to do with the role of the churches in their respective countries and the varying geographies of death.     

The performance of school integration according to the perception of specialist teachers in therapeutic pedagogy

The main purpose of this article is to analyse the perception that specialist teachers in therapeutic pedagogy have of the integration of students with specific needs for educational support. Diverse groups of students are differentiated. More specifically, it aims to know how teachers perceive students' performance and participation, and also certain attitudes towards the students (acceptance, involvement of fellow students…). Teachers' opinions of various measures to improve integration are also analysed as are the diverse preferred means of schooling and support. For this purpose, a 114-item Lickert-type questionnaire, with 8 additional personal identification items, was used. The sample comprised 106 specialist teachers who work in Asturias, out of an entire sample of 406. The results reveal that specialist teachers do not perceive the same attitudes in the different groups studied. Students with behaviour disorders are the most rejected and the ones from whom teachers can expect the least. The group of ethnic minorities needs to improve family involvement. The specialists demand more human and physical resources and most of them think that ordinary centres provide the most suitable form of schooling.     

Recovery during the weekend and fluctuations in weekly job performance: A week‐level study examining intra‐individual relationships

For most employees, the weekend offers the opportunity to recover and unwind from demands faced during the working week. In this study, first, we examined which factors contribute to employees' successful recovery during the weekend. Second, we investigated if being highly recovered after the weekend benefits different dimensions of job performance during the week. Using a within‐person design we conducted a week‐level study with 133 employees over four working weeks. Participants responded to weekly web‐based surveys at the beginning and at the end of the working week. Hierarchical linear modelling showed that psychological detachment, relaxation, and mastery experiences during the weekend predicted the state of being recovered at the beginning of the working week. The state of being recovered in turn predicted fluctuations in weekly task performance, personal initiative, organizational citizenship behaviour, and low perceived effort. Our results stress the importance of recovery during the weekend for both the individual and for organizations.