Stigma modifies the association between social support and mental health among sexual violence survivors in the Democratic Republic of Congo: implications for practice

Background and Objectives: The aim of this study was to further understanding of the relationship between social support, internalized and perceived stigma, and mental health among women who experienced sexual violence in the eastern Democratic Republic of Congo (DRC).

Methods: Drawing from baseline survey data collected in eastern DRC, researchers conducted a secondary cross-sectional analysis using data from 744 participants. Regression and moderation analyses were conducted to examine associations between social support variables, felt stigma, and depression, anxiety and posttraumatic stress disorder (PTSD).

Results: Emotional support seeking and felt stigma were positively associated with increased symptom severity across all three mental health variables. Stigma modified associations between emotional support seeking and depression (t?=??2.49, p?=?.013), anxiety (t?=??3.08, p?=?.002), and PTSD (t?=??2.94, p?=?.003). Increased frequency of emotional support seeking was associated with higher mental health symptoms of anxiety and PTSD among women experiencing all levels of stigma.

Conclusions: Enhancing understanding of social support and stigma may inform research and intervention among Congolese forced migrant populations across circumstances and geographic locations. Implications for practice and research are discussed.     

The role of attachment to God and spiritual self-awareness in predicting evangelical Christians’ appraisals of suffering

The present study examined how attachment to God and spiritual self-awareness are related to evangelical Christians’ appraisals of suffering. Specifically, we were interested in whether attachment anxiety and attachment avoidance with God were related to the appraised meaning of stressful life experiences as transformational and whether spiritual self-awareness mediated this relationship. A national sample (N?=?988) of students from Christian institutions completed an online survey. The results indicated that individuals with high levels of attachment anxiety or attachment avoidance with God were less likely to view suffering as a means of spiritual growth and connection with God. Mediation analyses also showed that higher levels of avoidant attachment to God were related to lower levels of spiritual self-awareness, which in turn were related to reduced ability to appraise suffering as transformational. Clinical implications and directions for future research are discussed.     

Religion-specific resources for meaning-making from suffering: defining the territory

The purpose of this review paper is to present a case for more proximal and emic approaches to the study of religious meaning-making in suffering. Meaning-making is an important way in which religion and spirituality contribute to adjustment in the context of encountering difficult life events. However, much of the available research on religious meaning-making ignores the contributions of specific religions to the meaning-making process. We begin by presenting a rationale for more sustained attention to religion-specific resources for meaning-making in suffering. Using Park’s meaning-making model as the organising framework, we then articulate how religions contribute unique global beliefs, situational beliefs, meaning-making processes, and valued outcomes to meaning-making. We illustrate these using existing research. Next, we suggest a refinement to Park’s model, offering a preliminary recursive model involving these identified components. We conclude with a brief prospectus informed by our model for future research.     

The stressors of being young and Black: Cardiovascular health and Black young adults

Objective: To examine the impact of stressors relevant to the lives of Black young adults including racial, financial, occupational, and general stress and psychological distress on cardiovascular disease (CVD) risk. Specifically, this study examined the relationship between multiple psychosocial stressors and two CVD risk indicators (i.e. obesity and blood pressure).

Design: This study used a quantitative design which included surveys, the collection of anthropometric and blood pressure (BP) measures. Participants were 124 Black college students aged 18 to 27 years old. Main Outcome Measures: Participants completed measures to assess psychological distress, general, occupational, financial and racial stress. Measures of body mass index (BMI), waist-to-hip ratio (WHR) and BP were collected to assess CVD risk.

Results: Findings indicated a significant effect of internalised racism on BMI and a significant effect of individual racial stress on diastolic BP. Also, depression was significantly associated with systolic BP. There were no significant results for WHR.

Conclusion: Findings suggested that the relationship among racial stress, psychological distress and CVD be further explored.     

Making good choices: toward a theory of well-being in medicine

The principle of beneficence directs healthcare practitioners to promote patients’ well-being, ensuring that the patients’ best interests guide treatment decisions. Because there are a number of distinct theories of well-being that could lead to different conclusions about the patient’s good, a careful consideration of which account is best suited for use in the medical context is needed. While there has been some discussion of the differences between subjective and objective theories of well-being within the bioethics literature, less attention has been given to the questions of what work a theory of well-being needs to do in bioethics and which standards of success ought to be used in selecting a theory of well-being for use in medicine. In this article, I argue that traditional theories of well-being developed in philosophy are not well suited to meet the needs of the medical context. For the principle of beneficence to be most useful, the underlying account of well-being should satisfy two conditions: first, it needs to lead to a concrete, action-guiding determination of the patient’s good; and, second, any recommendations it offers need to be justifiable to patients. Standard accounts of well-being have difficulty satisfying both conditions. Exploring the limitations of these theories when applied to treatment dilemmas helps point the way toward the development of an account of well-being better suited to healthcare.     

Housing First and Photovoice: Transforming Lives,Communities, and Systems

This article presents findings from a community‐based participatory evaluation of a Housing First program on the Island of O'ahu. In this study, clients in a Housing First program used Photovoice to evaluate the program and to advocate for progressive housing policies. Written together by members of the Housing First Photovoice group, this collaborative article describes the outcomes from both the Housing First program and the Photovoice project and demonstrates the ways in which participatory program evaluations can interact with client‐driven programs like Housing First to produce a cumulative, transformative impact. Findings suggest that community psychologists hoping to re‐engage with community mental health systems through enacting transformative change should consider taking a community‐based participatory approach to program evaluation because increased client voice in community mental health programs and their evaluations can have far‐reaching, transformative impacts for research, practice, and policy.     

Outcome expectancies and outcome values as predictors of children's aggression

Social learning theory predicts that outcome expectancies and values should independently predict behavior, but past studies of aggression have failed to test this hypothesis specifically. We asked low–socioeconomic status children to imagine themselves engaging in aggressive behaviors and to rate the likelihood of each of a number of outcomes (outcome expectancies) and to rate how much they cared about those outcomes (outcome values). The relationship between self-reported aggression and outcome expectancies, values, and expectancy by value interactions was assessed. Expectancies, values, and their interactions were differentially related to aggression depending on the specific outcome investigated (e.g., punishment, bad feelings in self or other, prevention of future aggression, and peer respect). Results are discussed in terms of implications for theory and for future research. Aggr. Behav. 24:439–454, 1998. © 1998 Wiley-Liss, Inc.