Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas

Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.     

Process Evaluation of A Physical Activity Self-Management Program For Children: Spark

Abstract

SPARK is a controlled field study of a multi-component elementary school program to promote physical activity. One component is a weekly classroom-based self-management program, with the goal of increasing physical activity outside of school. The curriculum included goal setting, behavioral skills training, a reward system, and parent involvement. An evaluation of curriculum implementation and association between process and outcome was conducted using direct observation of lessons, subjective ratings by 24 teachers and 391 parents, and participation records of 549 students. Teachers viewed the self-management curriculum less positively than the physical education curriculum. Teachers were observed implementing an average of 65% of curriculum elements, which may have contributed to the limited effects of the self-management program. Student participation in the program, measured by points earned for doing out of school physical activity, was correlated significantly with changes in body mass index and multiple psychosocial variables among boys but not girls. Barriers to full program implementation were identified, and a remaining challenge is to improve self-management curriculum implementation by teachers.     

Letter transpositions within and across morphemic boundaries: Is there a cross-language difference?

Research on the impact of letter transpositions that arise across morpheme boundaries has yielded conflicting results. These results have led to the suggestion that a cross-linguistic difference may exist in the recognition of Spanish and English words. In two masked-priming experiments run on separate groups of Spanish and English speakers, we tested this hypothesis by comparing the impacts of primes with letter transpositions that arose within morphemes or across morpheme boundaries on the recognition of identical or near-identical Spanish–English cognate targets. The results showed transposed-letter benefits in both Spanish and English that were not modulated by the position of the transposed letter in the prime stimulus. Our findings therefore add to the growing body of literature suggesting that the transposed-letter benefit is not affected by the position of the transposed letters relative to the morpheme boundary, and they dispel previous suggestions that there might be a genuine difference in orthographic coding across the Spanish and English writing systems.     

Using Cognitive Processing Therapy–Cognitive in a Residential Treatment Setting With an OIF Veteran With PTSD and a History of Severe Traumatic Brain Injury: A Case Study

The co-occurrence of posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) is common among military personnel returning from deployments in Iraq and Afghanistan. Despite the prevalence, scant evidence exists to inform clinicians as how to best treat these individuals, particularly for individuals with PTSD and a history of severe TBI. This case study presents the course of treatment in a VA residential PTSD/TBI program for an Operation Iraqi Freedom Veteran with PTSD, a history of severe TBI, and other psychiatric comorbidities. Cognitive Processing Therapy–Cognitive (CPT-C) was utilized as the primary PTSD treatment in conjunction with ancillary treatment. Data obtained during and following treatment suggest that CPT-C, without modifications to the protocol, offered within a residential treatment program may be an effective treatment for veterans with PTSD and a history of severe TBI.     

Willingness to accept occupational change when offered incentives: Comparing full-time and part-time employees

The ability to deal with occupational change is becoming increasingly important. We hypothesized that individual differences determining preferences for specific types of mobility (i.e., global personality traits and uncertainty tolerance) and decisional factors theoretically derived from the theory of planned behaviour (e.g., desirability of change; subjective norms) would be associated with higher willingness to accept occupational change when incentives such as greater autonomy were offered. These hypotheses were tested in a questionnaire study with samples of full-time and part-time employees. We further expected employment situation to function as a moderator in this process. Overall, results of regression analyses confirmed the relevance of the core components of the theory of planned behaviour. In addition, we found decisional factors to be more closely linked to the outcomes of full-time employees than to those of part-time employees. We discuss the practical implications of our results in terms of how best to support employees in adapting to the increasing demands for occupational change.     

Moral worry and religiosity in US and Canadian college samples

The objective of this study was to investigate the presence of worry about personal moral attitudes and behaviors in two college samples, and to check associations with religiosity, age, gender, personality traits, and geographic region. The study sample was drawn from college students in Minneapolis, Minnesota (N?=?333) and Sydney, Nova Scotia (N?=?137). Instruments consisted of moral worry and religiosity questionnaires, and the Eysenck Personality Questionnaire. Principal-components analysis was used to develop components for the worry and religiosity scales, and MANOVA for correlations between variables. Moral worry emerged as a domain distinct from worry about practical issues. Moral worry was not related to religiosity, age, gender, or Eysenck personality traits. Whereas the US sample scored higher in religiosity than the Canadian sample, the Canadian sample scored higher on moral worry. The present study supports our previous work and that of others that worry about one's moral emotions and behaviors is an important aspect of daily life. As such, consideration should be given to including some inquiry about moral worries (guilt, shame, regret, remorse, and others) in psychiatric assessments.     

A reappraisal of medieval mysticism & hysteria

This paper examines the historical association between medieval mysticism and asceticism and the psychopathological condition of hysteria. We first review the particular forms of medieval mysticism and asceticism that seem to have inspired modern psychiatrists and reductive historians to dismiss these phenomena as indubitably neurotic behaviours. Then we review the concept of hysteria as it evolved during the last two centuries for points of convergence with mysticism. Finally, we question the validity of value-laden diagnostic formulations in the domain of personality assessment. A few highly dramatic but culturally endorsed religious behaviours occuring in an otherwise well functioning individual does not constitute a basis for any psychiatric diagnosis, let alone a condemnatory characterological one such as hysteria. We propose a perspective for looking at medieval mystical states of mind and behaviours in context that moves beyond ahistoric assumptions that employ modern Western standards as the yardstick for medieval health and illness.     

Self-Presentation Concerns and Health Behaviors Among Cosmetic Surgery Patients

The present investigation examined the relationship between self-presentational motives and physical activity in a population of cosmetic surgery participants. Participants were 50 female and 5 male cosmetic surgery patients (CSPs; M age = 38.5 years) who completed a battery of self-report measures following either vein or acne treatment. Analyses revealed significant group differences on self-presentational concern and public self-consciousness between: (a) those who elected the treatment for appearance motives and those who elected treatment for health-based motives, and (b) the more frequent (3 or more times per week) and less frequent (2 or less times per week) exercisers. Greater self-presentational concerns and greater public self-consciousness were associated with having appearance-related motives for treatment and with being a less frequent exerciser.     

We think you agree: The detrimental impact of the false consensus effect on behavior

Two studies were designed to examine the impact of the false consensus effect on behavior (FCE; Ross, Greene, & House, 1977). False consensus is a form of social projection whereby individuals overestimate the degree to which others share their characteristics or beliefs. In a modified test of the theory of reasoned action, Study 1 demonstrated that the FCE independently predicts behavioral intentions regarding important social issues in a sample comprised of 205 college students. Further, results indicated that self-monitoring moderates the extent to which the FCE predicts behavioral intentions (specifically, as hypothesized, the FCE is a stronger predictor of behavior for high self-monitors). Because of the prevalence of the FCE among college students regarding potentially harmful social behaviors, Study 2 was designed to eliminate the FCE by differentially presenting students (N = 280) with alternative viewpoints regarding various issues. Presenting both sides of an argument using video-based stimuli effectively reduced the FCE. Recommendations for interventions that effectively promote beneficial social norms are discussed.