The impact of weight, sex, and race/ethnicity on body dissatisfaction among urban children

The purpose of the current study was to examine the relative contributions of weight status, race/ethnicity, sex, and age on body dissatisfaction in a large group of diverse children. Participants were 4th–6th graders (N = 1212) in ten inner-city schools who participated in an obesity prevention study previously published. Children completed the body dissatisfaction subscale of the Eating Disorder Inventory-2 (EDI-2), and weight status was assessed by measured weights and heights. Multiple regression analyses were conducted. Relative weight status was the strongest predictor of body dissatisfaction, followed by race/ethnicity, and sex. Body dissatisfaction was greatest in obese, Asian, and female children. Overall, results indicated that children's body dissatisfaction varies based on relative weight status, as well as race/ethnicity and sex among urban children. Results highlight the strong need for additional research so that more definitive conclusions may be drawn regarding the development of body image among diverse groups of children.     

The Contribution of Self‐Efficacy in Assessing Interests Using the Self‐Directed Search

Using the variables self‐efficacy, self‐estimates, and self‐competencies in a hierarchical multiple regression and confirmatory factor analysis, the present study provided strong support for 3 of 6 RIASEC (Realistic, Investigative, Artistic, Social, Enterprising, and Conventional) interest domains regarding Holland's (1997) assertion that it is unnecessary to administer a separate measure of self‐efficacy when using the Self‐Directed Search (SDS; Holland, Powell, & Fritzsche, 1994) to measure interests in career counseling. Implications for the interpretation of SDS scores in light of self‐efficacy assessment are discussed.     

Depression and self-focused language in structured interviews with older men

The association between depression and self-focused language has been found to varying extents across studies. The presence or absence of the association may depend on the communicative context. Based on Beck's depression model, a broad, evaluative self-focused question was predicted more likely to elicit a stronger association than a full interview containing a more heterogeneous question set of items. The spontaneous speech obtained during structured interviews of 26 depressed and nondepressed older men, an as-yet little studied population, was analyzed. Results were consistent with the hypothesis that association between self-focused language and depression was demonstrated in the target question but not across the entire interview. The results may explain some of the aforementioned discrepancies in prior studies.     

Are Residents Willing to Discuss Spirituality with Patients?

Family medicine is redefining itself in the wake of the Future of Family Medicine Project, the move to the Patient-Centered Medical Home, and the 2010 Patient Protection and Affordable Care Act’s emphasis on primary care. This effort has included representing family doctors as physicians who “care for the whole person” and who “specialize in you.” Many patients believe that whole person care involves attention to spirituality and wish to share their beliefs in the medical encounter. This national survey investigated whether a random sample of family medicine residents were willing to address spirituality upon patient request. With varying degrees of willingness, most doctors said that they would discuss patient beliefs if asked. Denominational preference, residency training in addressing spirituality, and self-rated spirituality were all predictive of the strength of reported willingness. These results indicate that training in addressing spirituality may create residents more likely to discuss the topic in clinical practice.     

The relationship between the objective identification threshold and priming effects does not provide a definitive boundary between conscious and unconscious perceptual processes

The Objective Threshold/Strategic Model (OT/S) proposes that strong, qualitative inferences of unconscious perception can be made if the relationship between perceptual sensitivity (typically priming effects) and stimulus visibility is nonlinear and nonmonotonic. The model proposes a nadir in priming effects at the objective identification threshold (identification d′ = 0). These predictions were tested with masked semantic priming and repetition priming of a lexical decision task. The visibility of the prime stimuli was systematically varied above and below the objective identification threshold. The obtained relationship between prime visibility and priming facilitation was nonlinear, but the results failed to confirm a nadir in priming effects at the objective identification threshold. We conclude that the objective identification threshold does not necessarily indicate the point where presumably unconscious priming effects might be inhibited by conscious cognitive processes.     

Engaging reluctant adolescents in family therapy: an exploratory study of in‐session processes of change

Informed by a trans‐theoretical model of the therapeutic alliance in conjoint family therapy, this exploratory study was the initial stage in a task analysis of critical shifts in adolescent engagement. Specifically, we compared sessions in which a resistant adolescent either did or did not shift from negative to positive engagement during the session. Two successful and two unsuccessful change events were selected from an archival data set based on SOFTA ratings of the therapeutic alliance. The results suggested that one parent element (support) and five therapist elements (structuring therapeutic conversations, fostering autonomy, building systemic awareness, rolling with resistance and understanding the adolescent's subjective experience) seemed critical for successfully facilitating adolescent engagement. The qualitative results were informed by the adolescent's self‐reported target complaints pretreatment, which suggested varying reasons for the teenagers’ active or passive disengagement. Implications for practice and recommendations for future research are offered to continue this line of inquiry.     

Distress and emotional well-being in breast cancer patients prior to radiotherapy: an expectancy-based model

Understanding precursors to distress and emotional well-being (EWB) experienced in anticipation of radiotherapy would facilitate the ability to intervene with this emotional upset (i.e. higher distress, lower EWB). Thus, this study tested an expectancy-based model for explaining emotional upset in breast cancer patients prior to radiotherapy. Women affected by breast cancer (N?=?106) were recruited and participants completed questionnaires prior to commencing radiotherapy. Structural equation modelling was used to test a cross-sectional model, which assessed the ability of dispositional optimism (Life Orientation Test-Revised - two factors), response expectancies (Visual Analog Scale items), medical (type of surgery, cancer stage and chemotherapy history) and demographic (age, race, ethnicity, education and marital status) variables to predict both EWB (Functional Assessment of Chronic Illness Therapy - Emotional Well-being Subscale) and distress (Profile of Mood States - short version). The model represented a good fit to the data accounting for 65% of the variance in EWB and 69% in distress. Significant predictors of emotional upset were pessimism, response expectancies, Latina ethnicity, cancer stage and having had a mastectomy. These variables explained a large portion of emotional upset experienced prior to radiotherapy for breast cancer and are important to consider when aiming to reduce distress and improve EWB in this context.     

Don't You Know Me Well Enough Yet? Comparing Reactions of Internal and External Candidates to Employment Testing

Employment tests, once primarily focused on screening external applicants, are increasingly used for decisions involving internal candidates (e.g., promotions or lateral transfers). The current study examines differences between internal and external candidates in reactions to an online selection test. Results indicate that internal candidates perceived a general lack of advance information regarding the assessment. However, they were considerably more likely to recommend the organization to others as compared with external candidates. Candidate status also moderated several reactions–outcomes relationships. Results are discussed in terms of their implications for organizations and directions for future research on internal candidate reactions are proposed.     

Family History and APOE-4 Genetic Risk in Alzheimer’s Disease

Identifying risk factors for Alzheimer's disease, such as carrying the APOE-4 allele, and understanding their contributions to disease pathophysiology or clinical presentation is critical for establishing and improving diagnostic and therapeutic strategies. A first-degree family history of Alzheimer's disease represents a composite risk factor, which reflects the influence of known and unknown susceptibility genes and perhaps non-genetic risks. There is emerging evidence that investigating family history risk associated effects may contribute to advances in Alzheimer's disease research and ultimately clinical practice.     

Assessing Patients’ Beliefs About Their Cancer-Related Fatigue: Validation of an Adapted Version of the Illness Perception Questionnaire

Cancer-related fatigue (CRF) is a common and distressing side-effect of cancer treatment. The present study developed a brief version of the Illness Perception Questionnaire (IPQ) for assessing patients' representations of CRF. Cancer patients and survivors (n?=?155) completed a revised version of the IPQ as well as measures of fatigue severity at two different time-points. Confirmatory factor analysis at both Time 1 and 2 showed that the seven-factor solution based on the Self-Regulation Model fit the data adequately and factorial invariance over the two time-points was supported. The resulting subscales exhibited good internal consistency and test-retest reliability. The adapted version of the IPQ shows promise for the assessment of patient perceptions regarding CRF. The scale may be able to be used clinically to identify if patients have inaccurate or unhelpful representations of CRF and to help tailor interventions for persistent fatigue in cancer survivors.