Understanding adolescent type 1 diabetes self-management as an adaptive process: A grounded theory approach

Objective: To develop a conceptual understanding of the process of adapting to the self-management of type 1 diabetes during adolescence.

Design: Participants were recruited from a National Health Service paediatric diabetes service within the south-west of England which runs six countywide diabetes clinics. Thirteen interviews were conducted using a social constructivist grounded theory approach.

Results: The findings illustrate how self-management can be understood in terms of a continuum-based framework, ranging from difficulties with, to successful self-management. Adaptation within the continuum can further be understood by specific transitional phases and process mechanisms, providing further depth to individuals’ experiences of adaptation.

Conclusion: This investigation provides a conceptual understanding of the complex issues adolescents encounter while adapting to and integrating a diabetes self-management regime into their lives. It provides an invaluable framework for exploring psychological mechanisms and contextualising them within a self-management continuum. Implications for healthcare professionals are discussed and further research proposes whether the model could be applicable to other chronic illnesses.     

Predictors of interest in direct-to-consumer genetic testing

Direct-to-consumer (DTC) genetic testing is an increasingly available option among individuals searching for information about their health risk factors and ancestry. This study is one of the first to examine predictors of interest in DTC genetic testing. Participants read one of the three types of information about DTC genetic testing (positive only, negative only or both) and reported perceptions of and intentions to pursue testing. The information which people read, their perceptions of the benefits of testing, their perceptions of the barriers to testing and anticipated regret predicted intentions to undergo testing. Interestingly, people who read both positive and negative information did not differ from people who read only negative information in their intentions to pursue testing. We discuss the implications of these findings for predicting interest in this relatively new type of genetic testing and for designing interventions to encourage (or discourage) testing.     

Smoking-specific communication and children's smoking onset: An extension of the theory of planned behaviour

The aim of this study was to test whether maternal smoking-specific communication and parental smoking related to smoking cognitions (i.e. attitude, self-efficacy and social norm) derived from the Theory of Planned Behaviour in association with smoking onset during preadolescence. A total of 1478 pairs of mothers and children participated (mean age: 10.11; standard deviation?=?0.78). Structural equation models in Mplus were used to examine whether smoking-specific communication influences children's smoking cognitions, which in turn, affect smoking onset. A positive association was found between pro-smoking attitudes and smoking onset. Smoking-specific communication and parental smoking were related to smoking cognitions. Specifically, frequency of communication was negatively associated with pro-smoking attitudes, social norms of mother and best friend. Quality of communication related negatively to pro-smoking attitudes and positively to self-efficacy and norms of friends. Parental smoking was positively associated with pro-smoking attitudes and norms of mother and (best) friends. Additionally, more frequent communication and higher levels of parental smoking were associated with higher smoking onset. In conclusion, smoking-specific communication and parental smoking were associated with smoking cognitions and smoking onset. Already during preadolescence, parents contribute to shaping the smoking cognitions of their children, which may be predictive of smoking later in life.     

Methylphenidate improves some but not all measures of ATTENTION,as measured by the TEA-Ch in medication-naïve children with ADHD

The Test of Everyday Attention for Children (TEA-Ch) is a reliable neuropsychological assessment of attention control in children. Methylphenidate (MPH) is an effective treatment to improve attentional difficulties in children with attention deficit/hyperactivity disorder (ADHD). Previous studies investigating the effects of MPH on attention performance of children with ADHD have produced mixed results and prior MPH usage may have confounded these results. No previous study has tested the effects of MPH on the entire TEA-Ch battery. This study investigated the effects of MPH on attention performance using the entire TEA-Ch in 51 medication-naïve children with ADHD compared with 35 nonmedicated typically developing children. All children were tested at baseline and after 6 weeks: The children with ADHD were medication-naïve at baseline, received MPH for 6 weeks and were tested whilst on medication at the second testing session. A beneficial effect of MPH administration was found on at least one subtest of each of the three forms of attention (selective, sustained, and attentional control) assessed by the TEA-Ch, independent of practice effects. MPH aided performance on the TEA-Ch tasks that were inherently nonarousing and that might require top-down control of attention. It is recommended that the TEA-Ch measures—Sky Search Count (selective attention),Score! (sustained attention), Creature Counting Time Taken for older children (attentional control), and Same Worlds (attentional control) be prioritized for use in future pharmacological studies using MPH.     

A randomised controlled trial of a brief online mindfulness-based intervention

ObjectivesThere is growing evidence that mindfulness has positive consequences for both psychological and physical health in both clinical and non-clinical populations. The potential benefits of mindfulness underpin a range of therapeutic intervention approaches designed to increase mindfulness in both clinical and community contexts. Self-guided mindfulness-based interventions may be a way to increase access to the benefits of mindfulness. This study explored whether a brief, online, mindfulness-based intervention can increase mindfulness and reduce perceived stress and anxiety/depression symptoms within a student population.MethodOne hundred and four students were randomly allocated to either immediately start a two-week, self-guided, online, mindfulness-based intervention or a wait-list control. Measures of mindfulness, perceived stress and anxiety/depression were administered before and after the intervention period.ResultsIntention to treat analysis identified significant group by time interactions for mindfulness skills, perceived stress and anxiety/depression symptoms. Participation in the intervention was associated with significant improvements in all measured domains, where no significant changes on these measures were found for the control group.ConclusionsThis provides evidence in support of the feasibility and effectiveness of shorter self-guided mindfulness-based interventions. The limitations and implications of this study for clinical practice are discussed.     

The Impact of Rumination on State Paranoid Ideation in a Nonclinical Sample

Cognitive-behavioral models of paranoia have emphasized the potential role of perseverative thinking styles, such as rumination or worry, in the development, maintenance and exacerbation of paranoid beliefs. This study aimed to experimentally test the hypothesis that rumination may play a role in the maintenance or exacerbation of state paranoid ideation. Following a paranoia induction, 37 nonclinical participants were randomly assigned to either a rumination task or a distraction control condition. In accord with main hypothesis, rumination was associated with maintained levels of paranoia, whereas distraction was associated with a decrease in levels of paranoia. These findings suggest that perseverative thinking may play a role in the maintenance of paranoid ideas, which may have implications for our understanding of the maintenance of paranoia and persecutory delusions in the clinical population. Furthermore, the study used a novel experimental paradigm for inducing paranoia, which may prove valuable for future research aiming to elicit paranoid thoughts and feelings in vivo.     

Spatial behavior in male and female crayfish (Orconectes rusticus): learning strategies and memory duration

Previous studies have demonstrated that animals use multiple strategies to solve spatial tasks. We used a T-maze to examine spatial behavior in crayfish, using visual and tactile stimuli as place cues and a food-scented escape tank as reinforcement to leave the maze. In trials on a single day and across multiple days, crayfish learned to exit the maze with significantly reduced latency and with fewer turns. In addition, we examined place memory in 40-min periods with the maze closed and found that crayfish spent longer in the vicinity of a previously open exit compared to a closed exit. Probe tests were conducted using a forced-choice procedure to determine whether crayfish remembered the route out of the maze using primarily place cues or response learning. We found that approximately equal numbers of animals used each strategy, and individuals were able to switch from one strategy to the other on different test days. Males and females did not differ significantly in their performance in the place memory test, maze exit task, or probe tests. Both sexes displayed place memory for the exit location and reduced latency to exit during trials 24 h, 48 h, 72 h, and 1 week after initial training trials, suggesting that spatial memories in crayfish are relatively enduring.     

Porn,Peers, and Performing Oral Sex: The Mediating Role of Peer Norms on Pornography’s Influence Regarding Oral Sex

ABSTRACT

The goal of this study was to offer insights into how pornography use might be linked to young adults’ sexual experiences via the mediating role of peer norms (i.e., their perceptions of what same-sex peers do sexually). We focused on oral sex behavior, as it is common in pornography and among young people. Young adults (N = 349; ages 19–30; 54% female) were recruited through a crowdsourcing website. Participants completed an anonymous online survey about the frequency that they observed various sexual behaviors in online pornography, the frequency that they engaged in these behaviors, and their perceptions of the frequency that their peers engaged in these behaviors. Frequency of viewing cunnilingus (men) or fellatio (women) in pornography predicted how often they engaged in oral sex, and this association was mediated by their perceptions of how frequently their peers engaged in oral sex. Peer norms did not mediate how frequently they received oral sex. Findings are discussed in terms of implications for understanding how pornography may relate to young people’s social norms surrounding oral sex and their performance of sexual behaviors, as well as for understanding generally how media consumption relates to adoption of media behaviors through suggesting a social norm.     

Comparing Chinese and Western Visitors’ Responses to Interpretive Signs at Chengdu Research Base of Giant Panda Breeding,China

ABSTRACT

Visitor experiences and interpretation at wildlife tourism sites are often designed to encourage visitors to adopt conservation actions. Typically, conservation messages are delivered via one-size-fits-all interpretive signage, with little consideration given to whether the same information attracts and engages different cultural groups. This study explores Chinese and international visitors’ perceptions of signage at the Chengdu Research Base of Giant Panda Breeding in China. Four sign prototypes were designed and a combination of visitor observations, interviews, and exit surveys were used to test their attracting and holding power. Comparisons of Chinese and Western visitors revealed no significant difference in the proportion who stopped to read signs. Preferences for signage elements were also similar across the two cultural groups; however, there were differences in terms of what visitors thought should be included in wildlife interpretation. Implications for the design and delivery of interpretation in Chinese wildlife tourism settings are discussed.     

Psychological and criminological factors associated with desistance from violence: A review of the literature

Ample evidence exists that offenders eventually terminate their criminal careers, and this holds true for violent offenders. The causal mechanisms responsible for triggering and maintaining this process remain unclear; meaning that desistance from violence is poorly understood. This comprehensive review of the literature revealed that research in this area is hampered by definitional, operational, and measurement inconsistencies. Several of the conceptual frameworks used to explain desistance from delinquency have not been specifically applied in relation to violence. However, it was found that criminological enquiry suggests that informal social control (e.g., stable relationship and employment) play a role in desistance from violence and that theoretical frameworks which examine both internal and external change seem to show promise as an aid to understanding the desistance process. Psychological research has tended to focus on the role of risk and protective factors in relation to desistance but this, particularly protective factors, is currently under-researched. More knowledge needs to be assembled about how: (1) the mechanics of protective factors mitigate risk of future violence, and (2) how they play a role in the maintenance of violent free behaviors. Findings from criminology and psychology need to be expanded and integrated to extend our understanding of desistance from violence.