Worry about health in smoking behaviour change

Many smokers and ex-smokers worry about their health. Given that worry keeps attention focused on the threat, it was expected that worrying about health in smokers would motivate them to quit and in ex-smokers may prevent relapse. Furthermore, worry was expected to influence the process of smoking cessation in interaction with self-efficacy, which is a measure of control over smoking, and with disengagement beliefs, which distorts the threatening meaning of potential motivating information. In the present study 380 smokers and 324 ex-smokers were recruited to join a prospective study with a follow-up of eight months. At T1, smoking/quitting behavior, worry and the other psychological constructs were assessed. At T2 quitting activity in smokers and relapse in ex-smokers were assessed. As expected, smokers who worried about the health effects of smoking reported higher quitting activity at T2. The three-way interactions between worry, self-efficacy and disengagement beliefs in the prospective prediction of quitting activity and relapse were significant: Among smokers with high self-efficacy combined with strong disengagement beliefs, worry led to more quitting activity. Among ex-smokers with low self-efficacy combined with strong disengagement beliefs, worry led to more relapse. The present results suggest new ways of approaching the stimulation of quitting and the prevention of relapse.     

Intersexualität oder Störung der Geschlechtsentwicklung

Intersexuality is suspected when a person either lacks the gender-typical attributes or they are too pronounced or if the attributes of both genders are present in one individual. Intersexuality is an umbrella term for a multitude of diagnoses having different causes, different disease patterns and different developments. Some of them are described in this article, such as the adrenogenital syndrome showing virilisation phenomena with a 46,XX chromosome set or reduced virilisation with a 46,XY chromosome set in the case of an androgen insensitivity syndrome, disturbances of androgenic biosynthesis or gonadal dysgenesis mostly with a feminine gender role. Examples of treatment situations from the psychotherapeutic practice are presented.     

Peer victimization in single-grade and multigrade classrooms

Although peer victimization mainly takes place within classrooms, little is known about the impact of the classroom context. To this end, we examined whether single-grade and multigrade classrooms (referring to classrooms with one and two grades in the same room) differ in victim–bully relationships in a sample of elementary school children (646 students; age 8–12 years; 50% boys). The occurrence of victim–bully relationships was similar in single-grade and multigrade classrooms formed for administrative reasons, but lower in multigrade classrooms formed for pedagogical reasons. Social network analyses did not provide evidence that peer victimization depended on age differences between children in any of the three classroom contexts. Moreover, in administrative multigrade classrooms, cross-grade victim–bully relationships were less likely than same-grade victim–bully relationships. The findings did not indicate that children in administrative multigrade classrooms are better or worse off in terms of victim–bully relationships than are children in single-grade classrooms.     

Consistent Partial Least Squares for Nonlinear Structural Equation Models

Partial Least Squares as applied to models with latent variables, measured indirectly by indicators, is well-known to be inconsistent. The linear compounds of indicators that PLS substitutes for the latent variables do not obey the equations that the latter satisfy. We propose simple, non-iterative corrections leading to consistent and asymptotically normal (CAN)-estimators for the loadings and for the correlations between the latent variables. Moreover, we show how to obtain CAN-estimators for the parameters of structural recursive systems of equations, containing linear and interaction terms, without the need to specify a particular joint distribution. If quadratic and higher order terms are included, the approach will produce CAN-estimators as well when predictor variables and error terms are jointly normal. We compare the adjusted PLS, denoted by PLSc, with Latent Moderated Structural Equations (LMS), using Monte Carlo studies and an empirical application.     

Residual outcome expectations and relapse in ex-smokers.

From a social cognitive theoretical point of view, strong positive outcome expectations of smoking are a cause of relapse in smoking cessation, working in concert with self-efficacy. This study investigated whether and to what extent this could be verified in a sample of ex-smokers. Some (N = 324) ex-smokers were followed for 7 months. At Time 1 (T1) and Time 2 (T2), participants filled in a self-report questionnaire assessing residual outcome expectations (ROEs), self-efficacy, craving for tobacco, and smoking behavior, which was sent and returned by mail. First, prospective analyses showed that ROEs assessed at T1 predicted relapse reported at T2 over and above self-efficacy. Second, the influence of ROEs (and self-efficacy) on relapse was mediated by craving experience. Third, the hypothesized interactions between ROEs and self-efficacy were significant and meaningful.