Developing networks in disempowered communities: Experiencing hardships while focusing on opportunities

This study aims to present an evaluation and the process steps of a community‐based initiative (CBI) consisting of a group of organizations that work to enhance the lives of boys and men of colour. Using a participatory research model, the researchers collaborated with 14 community stakeholders to develop the questions during two data collection periods and reviewed the reports for accuracy. The findings were separated into two broad categories. The perceived challenges included a lack of clear goals and measurements of success, an absence of leadership and direction, and a shortage of resources. The successes included passion of partners, increased collaboration, and increasing and maintaining social capital within the community. The lessons learned from both data collection periods helped this CBI broaden its reach and collaboration efforts. Overall, this study provides suggestions to other CBIs as they embark on making changes in their own communities.     

Trajectories of Change in a Group Behavioral Activation Treatment for Severe,Recurrent Depression

Depression is a common and costly problem. Behavioral Activation (BA) is an effective treatment for depression when delivered 1:1, but group treatments often do not perform as well as 1:1 treatments. One way to begin to understand how group treatments perform is to assess the process of change during treatment. This study examined trajectories of change across 10-session group BA for individuals with severe, chronic, or recurrent forms of depression. We also tested whether individuals who had associated sudden gains or depression spikes had better outcomes than those who did not have these change patterns. We examined psychological and sociodemographic predictors of the patterns of change. Participants were 104 individuals who met diagnostic criteria for major depressive disorder and participated in one of 10 BA groups, provided over a 2-year period. A linear, but not quadratic or cubic, rate of change fit the data and the effect size for the change in mood symptoms from baseline to posttreatment was large, Cohen’s d = 1.25. Although 34% (26 of the 77 who provided outcome data) of individuals had a sudden gain and 10% (7/77) had a depression spike, neither sudden gains nor depression spikes predicted posttreatment outcomes. None of the demographic or psychological factors (rumination, behavioral activation) predicted the pattern of change. These results suggest that although group BA may help to reduce depressive symptoms in individuals with severe, recurrent, and/or chronic forms of depression, the overall linear pattern of change is different from quadratic patterns of change reported for 1:1 BA.     

A Divine Connection

This article outlines the development of a scholarship programme geared toward African American laypeople in the Archdiocese of Chicago as a partnership between the archdiocese and the Catholic Theological Union.     

Sleep deprivation in Air National Guard medical personnel responding to simulated disaster-training exercises

National Guard personnel remain largely unstudied within the sleep research community, despite their unique and important role. In response, the purpose of this study was to investigate the extent of sleep deprivation in National Guard medical personnel from two separate Air Force Bases (AFBs) responding to simulated disaster-training exercises. National Guard medical personnel (N = 77) were fitted with wrist activity monitors (actigraphy) to objectively measure their sleep for 4 days of their civilian time (baseline), followed by a 4-day transition period from civilian to military duty, and a 3–5-day disaster-training exercise. Differences in sleep quantity, quality, and “cognitive effectiveness” were analyzed using generalized linear mixed models. Participants’ sleep quantity was significantly reduced from civilian to disaster-training periods, and their cognitive effectiveness also dropped significantly. National Guard medical personnel were sleep-deprived during a simulated disaster-training exercise, which, although a valid proxy for real-world disasters, is likely to be a conservative approximation of the stress and fatigue National Guard personnel experience during crisis response. As such, the need for targeted fatigue-related interventions to safeguard our service members during these critical times is clear.     

Memory fragments as components of autobiographical knowledge

Adults described and dated two kinds of personal remembrances: a fragment—a memory moment that is largely bereft of context—and an episodic, personal event memory—a narrative that consists of a number of related events. In Experiment 1 subjects reported memories from when they were 0–8 years of age and in Experiment 2, from when they were 0–16 years of age. Fragments were judged to be older than event memories, especially in Experiment 2 where the estimated ages of most fragments were from 0 to 8 years and of most episodic memories, from 8 to 16 years. Ratings of various features of the two kinds of memories also differed. We conclude that isolated memory moments possess validity and that although they are most likely to arise when the autobiographical memory system is not fully developed, they can also originate during a time when it is. Copyright © 2006 John Wiley & Sons, Ltd.     

Interpersonal disgust, ideological orientations, and dehumanization as predictors of intergroup attitudes

Disgust is a basic emotion characterized by revulsion and rejection, yet it is relatively unexamined in the literature on prejudice. In the present investigation, interpersonal-disgust sensitivity (e.g., not wanting to wear clean used clothes or to sit on a warm seat vacated by a stranger) in particular predicted negative attitudes toward immigrants, foreigners, and socially deviant groups, even after controlling for concerns with contracting disease. The mechanisms underlying the link between interpersonal disgust and attitudes toward immigrants were explored using a path model. As predicted, the effect of interpersonal-disgust sensitivity on group attitudes was indirect, mediated by ideological orientations (social dominance orientation, right-wing authoritarianism) and dehumanizing perceptions of the out-group. The effects of social dominance orientation on group attitudes were both direct and indirect, via dehumanization. These results establish a link between disgust sensitivity and prejudice that is not accounted for by fear of infection, but rather is mediated by ideological orientations and dehumanizing group representations. Implications for understanding and reducing prejudice are discussed.     

Implicit self-esteem compensation: automatic threat defense

Four experiments demonstrated implicit self-esteem compensation (ISEC) in response to threats involving gender identity (Experiment 1), implicit racism (Experiment 2), and social rejection (Experiments 3-4). Under conditions in which people might be expected to suffer a blow to self-worth, they instead showed high scores on 2 implicit self-esteem measures. There was no comparable effect on explicit self-esteem. However, ISEC was eliminated following self-affirmation (Experiment 3). Furthermore, threat manipulations increased automatic intergroup bias, but ISEC mediated these relationships (Experiments 2-3). Thus, a process that serves as damage control for the self may have negative social consequences. Finally, pretest anxiety mediated the relationship between threat and ISEC (Experiment 3), whereas ISEC negatively predicted anxiety among high-threat participants (Experiment 4), suggesting that ISEC may function to regulate anxiety. The implications of these findings for automatic emotion regulation, intergroup bias, and implicit self-esteem measures are discussed.     

Development and validation of the HIV Medication Readiness Scale

Excellent medication adherence (>95%) is required for optimal HIV treatment success. This study aimed to develop and validate a brief scale to assess psychological readiness for successfully starting and adhering to HIV medications. HIV-positive men and women (N = 142) from an HIV outpatient clinic completed the proposed HIV Medication Readiness Scale (HMRS) prior to starting HIV medications. The 10-item HMRS demonstrated high internal consistency (alpha = .90), test-retest reliability (r = .83), and sensitivity to change following a standardized 4-session psychoeducational intervention designed to increase readiness for successful adherence. Predictive validity was supported by higher readiness scores on the day starting HIV medications, predicting higher treatment adherence at 1-month follow-up. The HMRS is a brief, easy-to-use, clinically relevant tool that can assist in identifying people living with HIV at high risk of nonadherence, who might benefit from tailored readiness counseling prior to initiating HIV medications.     

Cognitive behavior therapy with Internet addicts: treatment outcomes and implications.

Research over the last decade has identified Internet addiction as a new and often unrecognized clinical disorder that impact a user's ability to control online use to the extent that it can cause relational, occupational, and social problems. While much of the literature explores the psychological and social factors underlying Internet addiction, little if any empirical evidence exists that examines specific treatment outcomes to deal with this new client population. Researchers have suggested using cognitive behavioral therapy (CBT) as the treatment of choice for Internet addiction, and addiction recovery in general has utilized CBT as part of treatment planning. To investigate the efficacy of using CBT with Internet addicts, this study investigated 114 clients who suffered from Internet addiction and received CBT at the Center for Online Addiction. This study employed a survey research design, and outcome variables such as client motivation, online time management, improved social relationships, improved sexual functioning, engagement in offline activities, and ability to abstain from problematic applications were evaluated on the 3rd, 8th, and 12th sessions and over a 6-month follow-up. Results suggested that Caucasian, middle-aged males with at least a 4-year degree were most likely to suffer from some form of Internet addiction. Preliminary analyses indicated that most clients were able to manage their presenting complaints by the eighth session, and symptom management was sustained upon a 6-month follow-up. As the field of Internet addiction continues to grow, such outcome data will be useful in treatment planning with evidenced-based protocols unique to this emergent client population.