Religion and Cardiovascular Disease Risk

Objectives: To determine whether cardiovascular-disease risk-factor profiles of majority-church members differ from those of non-church members we examined a large population-based random sample. Methods: Data from the two cross-sectional surveys of the Pawtucket Heart Health Program conducted in 1981–82 (n = 2442) and 1983–84 (n = 2799) were evaluated. Trained interviewers collected physiological measures including height, weight, systolic and diastolic blood pressure, and a small blood sample (for total cholesterol and high-density lipoprotein). Smoking, exercise, sociodemographics, and church membership were determined by self-report. Results: Church members were older, more likely to be female, Portuguese, married, have more people living in their households, and were also more likely to be greater than 20% overweight. Forty-eight percent of church members reported never having smoked cigarettes compared to 35.4% of non-church members. Differences in systolic blood pressure and total cholesterol were attributable to age, sex, and ethnicity. Conclusions: Aside from cigarette-smoking status and body-mass index, the risk profile of the two groups was not different, indicating that health-promotion interventions geared to the general population may not need to be tailored too extensively for members of religious organizations based on health status. On the other hand, the demographic differences and easy access to entire families may require more attention.     

Family Centred Brief Solution-focused Therapy with Chronic Schizophrenia: a Pilot Study

The purpose of the study was to pilot a family centred brief solution-focused therapy model (BSFT) with families and clients diagnosed with schizophrenia. A control group of clients and their families received traditional outpatient therapy, while an experimental group of clients and their families were treated with a BSFT model. All participants were pre-tested and then post-tested with the Family Environment Scale after five therapy sessions over a ten-week period. Significant differences between the groups were found on expressiveness, active-recreational orientation, moral-religious emphasis and family incongruence. The participation of families and clients with schizophrenia in family centred brief solution-focused therapy produced encouraging results and demonstrated the need for expanded studies using BSFT with other chronically mentally ill clients and their families.     

The Relationship Between Treatment Acceptability and Youth Outcome in Group CBT for Youth with ASD and Anxiety

Anxiety is one of the most common co-occurring diagnoses in youth with autism spectrum disorder (ASD). Cognitive behavior therapy (CBT) is an evidence-based treatment that has been tailored for youth with ASD and anxiety and has shown good efficacy in reducing youth anxiety immediately after treatment. One area that has not been widely studied is acceptability of CBT for anxiety in this population. Acceptability includes beliefs about the potential helpfulness and satisfaction with a given treatment and may be important in understanding treatment outcomes. This study focuses on parent, youth, and clinician acceptability of a well-researched CBT program, Facing Your Fears, for youth with ASD and anxiety. Data was collected as part of a larger multi-site study that compared three different instructional conditions for clinicians learning the intervention. Results indicated that parents rated acceptability as higher for the overall treatment compared to youth. Further, youth and parents rated exposure related sessions as more acceptable than psychoeducation, and higher exposure acceptability ratings were predictive of lower youth anxiety levels post-treatment. Clinicians who received ongoing consultation rated treatment acceptability lower than clinicians in the other training conditions. While some clinicians may be hesitant to implement exposure techniques with this population, findings suggest that it is the technique that parents and youth rated as the most acceptable. Results are discussed in terms of treatment and research implications for youth with ASD and their families.     

Positive Leader Behaviors and Workplace Incivility: the Mediating Role of Perceived Norms for Respect

Scholars have called for research on the antecedents of mistreatment in organizations such as workplace incivility, as well as the theoretical mechanisms that explain their linkage. To address this call, the present study draws upon social information processing and social cognitive theories to investigate the relationship between positive leader behaviors—those associated with charismatic leadership and ethical leadership—and workers’ experiences of workplace incivility through their perceptions of norms for respect. Relationships were separately examined in two field studies using multi-source data (employees and coworkers in study 1, employees and supervisors in study 2). Results suggest that charismatic leadership (study 1) and ethical leadership (study 2) are negatively related to employee experiences of workplace incivility through employee perceptions of norms for respect. Norms for respect appear to operate as a mediating mechanism through which positive forms of leadership may negatively relate to workplace incivility. The paper concludes with a discussion of implications for organizations regarding leader behaviors that foster norms for respect and curb uncivil behaviors at work.     

A review of research on smoking among United States Veterans with posttraumatic stress disorder (2006–2016)

Posttraumatic stress disorder (PTSD) is one of the most common psychiatric disorders diagnosed in U.S. veterans. PTSD is associated with high smoking prevalences and difficulty quitting in the general U.S. population. The current study reviewed research on smoking and PTSD in U.S. veteran samples to summarize past research and identify areas in need of additional inquiry. MEDLINE and PsycINFO searches identified papers on smoking in samples of U.S. veterans with PTSD published from January 2006 through December 2016. Thirty-four articles met all of the inclusion criteria: (a) part of the sample consisted of U.S. veterans with PTSD or PTSD symptoms, and (b) the study examined some aspect of smoking behavior. U.S. veterans with PTSD were more likely to report smoking, heavy smoking, nicotine dependence, and late-onset smoking compared to veterans without PTSD. Smoking behaviors (e.g., current smoking, heavy smoking, smoking expectancies) differed by PTSD symptoms and by combat exposure. Smoking cessation feasibility studies examined the integration of smoking treatment into PTSD clinics and found favorable outcomes. Future research on veterans with PTSD would benefit from extending topics beyond rates of smoking to better understand the treatment needs of veterans. Research on smoking-related behaviors can help identify areas to target for interventions.     

Braiding Two Evidence-Based Programs for Families At-Risk: Results of a Cluster Randomized Trial

Child maltreatment is a significant public health problem best addressed through evidence-based parent-support programs. There is a wide range of programs with different strengths offering a variety of options for families. Choosing one single evidence-based program often limits the range of services available to meet the unique needs of families. This paper presents findings from a study to examine the systematic braiding of two evidence-based programs, Parents as Teachers and SafeCare at Home (PATSCH), with the goal to provide a more robust intervention for higher risk families. A cluster randomized effectiveness trial was conducted to examine if PATSCH improved parenting behaviors known to decrease the risk for child maltreatment compared to Parents as Teachers (PAT) Alone. Parents (N?=?159; 92 PAT Alone; 67 PATSCH) were enrolled to complete a baseline, 6-month and 12-month assessment. Results indicate the groups did not differ on number of environmental hazards in the home, parents’ health care decision-making abilities, child abuse potential, and physical assault over time. However, with regard to the potential for child abuse, the PATSCH group showed a decrease in nonviolence discipline and increase in psychological aggression compared to the PAT group. Further research is needed to better examine this concept and its implications for the field.     

Sex on the margins: centering intersex,transgender, and sexually fluid voices in religious and scientific discourse

ABSTRACT

This collection of essays arose from the conference “Sex on the Margins: Navigating Religious, Social, and Natural Scientific Models of Sex Differences,” February 24–26, 2017, at Boston University. Scholars examined how our growing knowledge of sex, gender, and sexual diversity impacts binary models of sex that continue to hold sway in most religious and natural scientific examinations of human nature, including their practical application in medical approaches to differently sexed and gendered bodies. The authors call for a nuanced, interdisciplinary approach to sex difference which respects and protects minorities without eliding statistically significant binary patterns of human experience.     

Using found poetry to illuminate the existential and posttraumatic growth of women with breast cancer engaging in art therapy

Arts-based research (ABR) is an expanding methodological genre, which adapts the tenets of the creative arts to make social science research accessible, evocative, and engaging. It crosses the boundaries of both art and science, but has made few inroads within the discipline of psychology. This article describes a pilot project examining how art-making shaped the trajectories of women diagnosed and treated for breast cancer. Using ABR as a way of distilling the findings, we demonstrate how experiences of existential and posttraumatic growth can be understood more intensely and profoundly through found poetry. Found poems (excerpts from interviews reframed as poetry) offer a richer, more meaningful, and potent evocation of themes than traditional coding categories. Poetry permits the voice of the participant to be more clearly heard and allows the reader to access deeper insights and understandings of the complexities of growth through adversity.     

The neural correlates of alcohol-related aggression

Alcohol intoxication is implicated in approximately half of all violent crimes. Over the past several decades, numerous theories have been proposed to account for the influence of alcohol on aggression. Nearly all of these theories imply that altered functioning in the prefrontal cortex is a proximal cause. In the present functional magnetic resonance imaging (fMRI) experiment, 50 healthy young men consumed either a low dose of alcohol or a placebo and completed an aggression paradigm against provocative and nonprovocative opponents. Provocation did not affect neural responses. However, relative to sober participants, during acts of aggression, intoxicated participants showed decreased activity in the prefrontal cortex, caudate, and ventral striatum, but heightened activation in the hippocampus. Among intoxicated participants, but not among sober participants, aggressive behavior was positively correlated with activation in the medial and dorsolateral prefrontal cortex. These results support theories that posit a role for prefrontal cortical dysfunction as an important factor in intoxicated aggression.