Are we going to close social gaps in HIV? Likely effects of behavioral HIV-prevention interventions on health disparities

Although experimental behavioral interventions to prevent HIV are generally designed to correct undesirable epidemiological trends, it is presently unknown whether the resulting body of behavioral interventions is adequate to correct the social disparities in HIV-prevalence and incidence present in the United States. Two large, diverse-population meta-analytic databases were reanalyzed to estimate potential perpetuation and change in demographic and behavioral gaps as a result of introducing the available behavioral interventions advocating condom use. This review suggested that, if uniformly applied across populations, the analyzed set of experimental (i.e. under testing) interventions is well poised to correct the higher prevalence and incidence among males (vs. females) and African-Americans and Latinos (vs. other groups), but ill poised to correct the higher prevalence and incidence among younger (vs. older) people, as well as men who have sex with men, injection-drug users, and multiple partner heterosexuals (vs. other behavioral groups). Importantly, when the characteristics of the interventions most efficacious for each population were included in the analyses of behavior change, results replicated with three exceptions. Specifically, after accounting for interactions of intervention and facilitator features with characteristics of the recipient population (e.g. gender), there was no behavior change bias for men who have sex with men, younger individuals changed their behavior more than older individuals, and African-Americans changed their behavior less than other groups.     

Vegetative state: efforts to curb misdiagnosis

Media reports on the case of Rom Houben have constituted a new reminder of the risks of misdiagnosis with cases with apparent vegetative state, particularly when following the clinical consensus of the care team as diagnostic criterion. Systematic use of behavioral and non-behavioral assessment strategies (e.g., behavioral scales, event-related potentials, and neuro-imaging) may help reduce the aforementioned risks. A new learning assessment strategy could also be considered part of the assessment to extend the evaluation process. Signs of learning might be viewed as forms of concrete knowledge representing a basic level of non-reflective consciousness.     

The users of an online psychological advice service: a sociodemographic analysis

Although online psychological services and research based on them are increasing rapidly, it is not that easy to find investigations that focus on the kind of people that demand them. To know their profile could help to improve the online psychological services that are offered to them. For this purpose, we analysed the sociodemographic characteristics of 1052 participants, all of them having posed a psychological question to our online advice service. The relations between sociodemographics and variables related to the psychological consultation are analysed herein. Features such as age distribution, a high proportion of long-term problems, the large quantity of questions from Latin America, or the under representation of the lowest socioeconomic and educational levels could lead to clinical, social and legal implications that we comment on in this work.     

A Door to HIV‐Prevention Interventions: How Female‐Targeted Materials Can Enhance Female Participation1

The aim of this study was to examine the influence of gender on exposure to gender‐tailored HIV‐prevention brochures. During an unobtrusive observation of participants' reading of brochures, both men and women were likely to avoid gender‐mismatched brochures. However, women were more likely to selectively approach gender‐matched brochures over gender‐neutral brochures than were men. Furthermore, exposure to the female‐targeted brochure predicted accepting an HIV‐prevention video. This pattern was only the case for females and not for males or for the male‐targeted brochure. This finding implies that the gender‐tailored brochures are more useful for women than for men, and may open the door to other materials designed with preventive objectives.     

Systemic administration of a nitric oxide synthase inhibitor impairs fear sensitization in the plus-maze

The aim of the present study was to evaluate the occurrence of fear sensitization in rats previously treated with an inhibitor of the NO syntheses and submitted to Trial1/Trial2 plus-maze (PM) procedure. Male Wistar rats received a systemic treatment with N(omega)-nitro-L-Arginine-methyl ester (L-NAME; 5, 10 or 50 mg kg(-1)) and were submitted to PM Trial1. In the following day the animals were re-exposed to the PM with no drug administration (Trial2). Some standards spatial-temporal measures, such as the percentage of entries (% Open arm entries) and time spent (% Open arm time) in the open arms and risk assessment frequency were recorded and used to estimate the animal level of fear sensitization in PM Trial2. The results showed that animals receiving L-NAME (50 mg kg(-1)) displayed increased % Open arm entries and % Open arm time in Trial2 in relation to the group receiving 0.9% saline, which is compatible with impaired fear/anxiety acquisition during Trial1/Trial2 PM procedure. In addition, rats treated with L-NAME (50 mg kg(-1)) exhibited low level of risk assessment in Trial2 in relation to the group treated with 0.9% saline, which indicates low level of fear/anxiety during PM re-exposure. The number of entries into the enclosed arms was not changed by any L-NAME treatment, which suggests no bias of the drug treatments on animal locomotor activity. The data suggest that NO synthesis may mediate the fear sensitization process in the PM.     

False recognition of facial expressions of emotion: causes and implications

This article examines the importance of semantic processes in the recognition of emotional expressions, through a series of three studies on false recognition. The first study found a high frequency of false recognition of prototypical expressions of emotion when participants viewed slides and video clips of nonprototypical fearful and happy expressions. The second study tested whether semantic processes caused false recognition. The authors found that participants made significantly higher error rates when asked to detect expressions that corresponded to semantic labels than when asked to detect visual stimuli. Finally, given that previous research reported that false memories are less prevalent in younger children, the third study tested whether false recognition of prototypical expressions increased with age. The authors found that 67% of eight- to nine-year-old children reported nonpresent prototypical expressions of fear in a fearful context, but only 40% of 6- to 7-year-old children did so. Taken together, these three studies demonstrate the importance of semantic processes in the detection and categorization of prototypical emotional expressions.     

Different mechanisms for role relations versus verb–action congruence effects: Evidence from ERPs in picture–sentence verification

Extant accounts of visually situated language processing do make general predictions about visual context effects on incremental sentence comprehension; these, however, are not sufficiently detailed to accommodate potentially different visual context effects (such as a scene–sentence mismatch based on actions versus thematic role relations, e.g., (Altmann & Kamide, 2007; Knoeferle & Crocker, 2007; Taylor & Zwaan, 2008; Zwaan & Radvansky, 1998)). To provide additional data for theory testing and development, we collected event-related brain potentials (ERPs) as participants read a subject–verb–object sentence (500 ms SOA in Experiment 1 and 300 ms SOA in Experiment 2), and post-sentence verification times indicating whether or not the verb and/or the thematic role relations matched a preceding picture (depicting two participants engaged in an action). Though incrementally processed, these two types of mismatch yielded different ERP effects. Role–relation mismatch effects emerged at the subject noun as anterior negativities to the mismatching noun, preceding action mismatch effects manifest as centro-parietal N400s greater to the mismatching verb, regardless of SOAs. These two types of mismatch manipulations also yielded different effects post-verbally, correlated differently with a participant's mean accuracy, verbal working memory and visual-spatial scores, and differed in their interactions with SOA. Taken together these results clearly implicate more than a single mismatch mechanism for extant accounts of picture–sentence processing to accommodate.     

“May I present you: my disgust!” – Declared disgust sensitivity in the presence of attractive models

Disgust sensitivity differs among men and women, and this phenomenon has been observed across numerous cultures. It remains unknown why such sex differences occur, but one of the reasons may relate to differences in self-presentation. We tested that hypothesis in an experiment comprising 299 participants (49% women) randomly allocated into three groups. Each group completed the Three Domains Disgust Scale (TDDS) and rated how disgusting they found olfactory, visual, gustatory, and tactile disgust elicitors either when a male experimenter was present, a female experimenter was present, or no experimenter was present. We hypothesised that male participants in the female experimenter group would declare decreased levels of disgust sensitivity, and female participants in the male experimenter group would declare increased levels of disgust sensitivity. Results showed that despite sex differences in pathogen and sexual disgust, attractive experimenters did not evoke any differences in declared disgust across groups with one exception–both men and women self-presented as more sensitive to sexual disgust in the presence of the female experimenter. We discuss our findings in the light of evolutionary and social theories.     

Usability and Utility of a Computerized Cognitive-Behavioral Self-Help Program for Public Speaking Anxiety

This study describes the use of a cognitive-behavioral computer-administered self-help program with minimal therapist contact for public speaking anxiety. Participants (N = 10) with social phobia, as measured by a structured clinical interview, completed the self-help program in an open clinical trial. The program was delivered via a CD-ROM during individual sessions at an outpatient clinic, including 4 sessions of psychoeducation/cognitive therapy and 4 sessions of exposure therapy using a virtual audience presented on a computer screen. A therapist was available in another room to answer questions and to debrief for up to 10 minutes after each session. Participants completed standardized self-report questionnaires assessing social anxiety at pretreatment, posttreatment, and 3-month follow-up. Participants also completed measures of computer usability. Results showed decreases on all self-report measures of social anxiety from pre- to posttreatment, which were maintained at follow-up (n = 8). Participants also reported that they were satisfied with treatment, that they felt improved after treatment, and that the computer program was user-friendly. This study provides preliminary evidence that a computer-administered cognitive-behavioral-based program that includes minimal therapist contact may reduce public speaking anxiety and suggests that further research with a controlled design is needed.