Associations among depressive symptoms,well-being,patient involvement,provider cultural competency,and treatment nonadherence: An exploratory study among university student-patients

Many students on US university campuses are underserved and undertreated for common mental health and medical conditions. The limited extent to which university students seek psychological and medical care when they need it has long been a problem. Among those who do seek care, treatment adherence appears to be an issue as well. However, few studies have examined factors that may be related to treatment nonadherence in university student-patients. The present survey study examined often-understudied constructs (i.e. patient involvement, treatment nonadherence, and provider cultural competency) in 243 university student-patients. Specifically, using a correlational research design, we examined the relations among depressive symptoms, well-being, patient involvement, cultural competency, and treatment nonadherence. Using multiple linear regression analysis, we also explored the extent to which the exploratory variables predicted treatment nonadherence separately and jointly. The current study revealed two important findings. First, all four factors – depressive symptoms, well-being, patient involvement, and cultural competency – were related to nonadherence to treatment. Second, depressive symptoms and patient involvement explained unique variance in nonadherence to treatment. The findings suggest that increased awareness of and attention to depressive symptoms and patient involvement may have important relevance for engendering healthy campuses and for reducing nonadherence in student-patients. Implications and directions for future research are proffered.     

Effects of the Copy-Cover-Compare Strategy on Acquisition,Maintenance, and Generalization of Spelling Sight Words for Elementary Students With Attention Deficit/Hyperactivity Disorder

Students with attention deficit/hyperactivity disorder (ADHD) often struggle with spelling. Research shows this population benefits from self-management interventions, structured practice opportunities, and immediate feedback—all components of the copy-cover-compare strategy. This empirical investigation used a multiple-baseline experimental design to determine the effects of the copy-cover-compare strategy on acquisition, generalization, and maintenance of spelling words for four students with ADHD in Grades 1 through 3. Results showed a functional relation between copy-cover-compare and mastery, maintenance, and generalization of three sets of spelling words for each student. Limitations, implications for practice, and suggestions for future research are discussed.     

Induced forgetting and reduced confidence in our personal past? The consequences of selectively retrieving emotional autobiographical memories

People build their sense of self, in part, through their memories of their personal past. What is striking about these personal memories is that, in many instances, they are inaccurate, yet confidently held. Most researchers assume that confidence ratings are based, in large part, on the memory's mnemonic features. That is, the more vivid or detailed the memory, the higher the confidence people have in its accuracy. However, we explore a heretofore underappreciated source on which confidence ratings may be based: the accessibility of memories as a result of selective retrieval. To explore this possibility, we use Anderson, Bjork, and Bjork's retrieval-induced forgetting (RIF) paradigm with emotional (positive and negative) autobiographical memories. We found the standard RIF effect for memory recall across emotional valence. That is, selective retrieval of emotional autobiographical memories induced forgetting of related, but not retrieved emotional autobiographical memories compared to the baseline. More interestingly, we found that the confidence ratings for positive memories mirrored the RIF pattern: decreased confidence for related, unpracticed autobiographical memories relative to the baseline. For negative memories, we found the opposite pattern: increased confidence for both practiced autobiographical memories and related, unpracticed autobiographical memories. We discuss these results in terms of accessibility, the diverging mnemonic consequences of selectively retrieving positive and negative autobiographical memories and personal identity.     

The Role of Syllables in Anagram Solution: A Rasch Analysis

Anagrams are frequently used by experimental psychologists interested in how the mental lexicon is organized. Until very recently, research has overlooked the importance of syllable structure in solving anagrams and assumed that solution difficulty was mainly due to frequency factors (e.g., bigram statistics). The present study uses Rasch analysis to demonstrate that the number of syllables is a very important factor influencing anagram solution difficulty for both good and poor problem solvers, with polysyllabic words being harder to solve. Furthermore, it suggests that syllable frequency may have an impact on solution times for polysyllabic words, with more frequent syllables being more difficult to solve. The study illustrates the advantages of Rasch analysis for reliable and unidimensional measurement of item difficulty.     

Promoting happiness: The malleability of individual and societal subjective wellbeing

Is it possible to enhance the subjective wellbeing of individuals and societies? If so, what are the mental health interventions and economic mechanisms by which subjective wellbeing could be enhanced? We address these questions in our review of the literature on subjective wellbeing. Research now shows that although subjective wellbeing is heritable and stable, it can change substantially over time. Long‐term changes can be affected by positive or negative life events; subjective wellbeing interventions have also proved to be effective for boosting wellbeing for as long as six months. At the societal level, economic factors matter for the subjective wellbeing of citizens. Economic wealth is shown to be a predictor of societal wellbeing across countries and over time. Also, high unemployment severely lowers the wellbeing of individuals and has spillover effects on other societal members, such as the employed. Given the weight of evidence, we are optimistic that subjective wellbeing can be enhanced. For practitioners, policy makers, and economists interested in the wellbeing of individuals, we propose that these findings have implications for mental health practice and economic policies. Future research and methodological issues are discussed.     

Correlates of Victimization in a Juvenile Justice Population

The Practical Adolescent Dual Diagnostic Interview is a structured diagnostic interview designed to gather basic information about mental health conditions; past emotional, physical, and sexual abuse; suicide attempts; and substance use disorders. This instrument was administered to 435 males and 61 females in juvenile justice facilities and adolescent diversion courts to assess prevalence of mental health and substance use disorders relative to maltreatment (defined as physical, sexual, and/or emotional abuse). Results showed that the majority of juveniles who experienced maltreatment were more likely to have diagnostic indications of behavioral health conditions. Additionally, for both males and females the odds of the individual having attempted suicide were more than twice as high for those acknowledging some form of maltreatment.     

Depressive and Anxious Symptomatology Moderate the Relationship Between Childhood Emotional Abuse Severity and Attentional Bias on the Modified Stroop Task

Research has demonstrated that the impact of childhood abuse often outlasts the initial abuse experiences, paving the way for a myriad of psychological difficulties in adulthood. Attentional bias might serve as a pathway from childhood abuse to negative outcomes associated with such experiences. The primary aim of the study was to investigate the impact of childhood emotional abuse (CEA) experiences on the presence of attentional bias in a sample of college women by comparing performance on a modified Stroop task between CEA survivors (n = 28) and a nonabused control group (n = 31). Results suggest that for CEA survivors, psychological symptoms moderated the relationship between CEA severity and attentional bias to specific word types. Results underscore the importance in continued exploration of the relationship among childhood emotional abuse, attentional bias, and concurrent psychopathology. Results also suggest that modification of attentional biases, via cognitive bias modification procedures, could help mitigate the impact of childhood abuse experiences on psychological well-being in adult survivors.     

Domestic Violence Service Providers’ Technology Readiness and Information Needs

Technology-based applications hold promise as effective, efficient means of disseminating research- and practice-based information to professionals whose work relates to domestic violence. Other related uses of technology in the field have grown, including safety planning to address technology-related risks to victims and software programs being integrated into domestic violence agencies. However, to date, the levels of technology readiness and technology-related information needs of these professionals have received minimal research attention. This study involved a national survey of 471 professionals whose work addresses domestic violence. The findings demonstrate differences in professionals’ technology readiness based on key demographic and professional characteristics. They also reveal the most frequently noted information needs within this professional field. Implications for future research and practice are provided.     

Do you see what I see?: An exploration of inter-ethnic ideal body size comparisons among college women

The present study explored African American (n = 16) and European American (n = 19) college women's ideal body size perceptions for their own and the other ethnic group along with reasons behind their selections. Respondents completed an ethnically-neutral figure rating scale and then participated in ethnically-homogenous focus groups. European Americans mostly preferred a curvy-thin or athletic ideal body while most African American students resisted notions of a singular ideal body. European Americans suggested that African Americans’ larger ideal body sizes were based on greater body acceptance and the preferences of African American men. African Americans used extreme terms when discussing their perceptions of European Americans’ thin idealization, celebrity role models, and weight management behaviors. African Americans’ perceptions of European Americans’ body dissatisfaction were also attributed to the frequent fat talk they engaged in. Implications for promoting the psychosocial well-being of ethnically-diverse emerging adult females attending college are discussed.     

The medieval mappaemundi: Toward an archaeology of sacred cartography

Scholars have long been fascinated by the curious world portrayed in the circular world maps (mappaemundi) that were drawn by medieval monks and other learned individuals during the European Middle Ages. For students of the history of cartography, however, the mappaemundi represent the nadir of the science of map‐making, bearing witness to the thousand‐year period which saw the abandonment of carefully‐calculated spatial representation and the emergence in its place of religious cosmography. To cartographers, these maps, bearing no resemblance to objective reality, are of little or no scientific value, but merely a reminder of a truly Dark Age.

Yet, though the medieval mappaemundi possess no scientific value for modern geographers, they do provide scholars of religion and culture a glimpse into a world—a sacred world—far removed from our own. In these maps we see not a testament to an age of scientific ignorance but, more importantly, an artifact of its common thought‐world—its sacred discourse. The world these maps portray is a world ordered by sacred events and imbued with sacred meaning, a world that saw itself participating in sacred time, located by divine redemption in sacred space.

This paper considers the organization, abstraction and representation by medieval cartographers of the world as sacred space. By outlining the development of the mappaemundi, this paper also seeks to explain the evolution of the dominant sacred worldview of the European Middle Ages that took shape and helped maintain social and religious order through its common symbol system as portrayed in its sacred cartography.