Relationship satisfaction determines the association between Epstein–Barr virus latency and somatic symptoms after the loss of a spouse

The loss of a spouse is associated with a host of negative health outcomes. While bereaved individuals commonly report somatic symptoms, no investigations exist of the association between reactivation of latent Epstein–Barr virus (EBV) and somatic symptoms among this population. Further, how an individual perceives the quality of their lost relationship in retrospect may impact loss outcomes. Among 99 bereaved spouses, elevated EBV antibody titers were associated with somatic symptoms for those who retrospectively reported high or mean levels of relationship satisfaction (RS), but not among those less satisfied. Further, higher RS was associated with greater grief symptoms. This study identifies higher retrospective RS as a possible risk factor for negative physical and mental health outcomes during bereavement.     

Epidemiological considerations in transgender health: A systematic review with focus on higher quality data

Abstract

Background: High quality data pertaining to the size of the transgender and gender diverse (TGD) population are scant, however, several recently published studies may provide more reliable contemporary estimates.

Aims: To summarize the estimated number and proportion of TGD individuals overall and across age groups, based on most accurate data.

Methods: This systematic review focused on recent studies (published from 2009 through 2019) that utilized sound methodology in assessing the proportion of TGD people in the general population. Publications were included if they used clear definitions of TGD status, and calculated proportions based on a well-defined sampling frame. Nineteen eligible publications represented two broad categories of studies: those that used data from large health care systems; and those that identified TGD individuals from population surveys.

Results: Among health system-based studies, TGD persons were identified using relevant diagnostic codes or clinical notes. The proportions of individuals with a TGD-relevant diagnosis or other recorded evidence ranged between 17 and 33 per 100,000 enrollees. In population surveys TGD status was ascertained based on self-report with either narrow or broad definitions. The survey-based estimates were orders of magnitude higher and consistent across studies using similar definitions. When the surveys specifically inquired about ‘transgender’ identity, the estimates ranged from 0.3% to 0.5% among adults, and from 1.2% to 2.7% among children and adolescents. When the definition was expanded to include broader manifestations of ‘gender diversity’, the corresponding proportions increased to 0.5-4.5% among adults and 2.5-8.4% among children and adolescents. Upward temporal trends in the proportion of TGD people were consistently observed.

Conclusions: Current data indicate that people who self-identify as TGD represent a sizable and increasing proportion of the general population. This proportion may differ, depending on inclusion criteria, age, and geographic location, but well-conducted studies of similar type and design tend to produce comparable results.     

Early intervention in the family system: A framework and review

A framework for understanding the effect of early intervention on family structure and functioning is presented. The framework uses five sets of variables to characterize families: Their ecology; and the values, roles, personalities, and interactions of family members. Twenty research studies that met criteria of having comparison/control groups, beginning intervention either prenatally or during the first 3 months of infancy, and directing intervention to family functioning are abstracted and examined in detail. Successful and unsuccessful studies are compared as to population and nature of intervention. Two criteria of success are used: (1) The commonly used criterion of any positive change; (2) a more rigorous criterion of change in at least three areas of family functioning, based on the assumption that more pervasive change will have more lasting influence on child development. Application of the first criterion found that 75% of early family focused intervention studies showed a successful outcome. Application of the latter criterion found that 50% showed a successful outcome. Further, there were no significant differences between successful and unsuccessful studies as to target group or type of intervention. The review suggests that early intervention targeted at family functioning is effective and that a more pervasive and sustained effect is likely if the intervention includes at least 11 or more contacts over at least a 3-month period.     

Dyadic processes between mothers and preterm infants: Development at ages 2 to 5 years

In order to identify antecedents to cognitive, language, and social competence from 2 to 5 years of age in preterm children at biological and social risk, this study used multiple procedures, administered in the laboratory, at 13 and 20 months, to measure components of the social interactions between 51 mothers and their preterm infants. Two variables, maternal responsiveness to infant vocalization and infant irritability, were found to be significant predictors of later competence. Whereas greater maternal responsiveness, as expected, led to increased language and social skills, greater infant irritability during stressful situations also foretold later increased competence in expressive and receptive language and social cognition. Children born at higher birthweights and with longer gestations were more likely to be more irritable than those born at very low birthweights. The findings suggest different implications for negative affect in preterms who have experienced respiratory distress as contrasted to full-term children, but indicate similar positive consequences for maternal verbal responsiveness.     

Breaking the Borders/Violating the Norms: An Archaeological Survey of an Intersex in a Traditional Society, Bam (South Eastern Iran)

How does breaking boundaries and passing identity red lines affect social and personal life? How do people with contradictory identities experience life in a traditional society? What will happen if the material and bodily identity of an individual goes against social norms? This research is a narration of some parts of an intersex life, an individual with a vague, unknown identity who contradicts the common norms of the society. In a traditional society, where gender and sexual identity act as a taboo and a powerful source of identity, people with uncommon (gender and sexual) identities suffer from an unstable social status. The story of Setareh/Saman’s life is told based on the archaeological remains from the debris of destroyed layers of a house in Bam. This is the story of transforming from female to male, the story of limitations, social inequalities and pressures on the individuals and the minorities who are condemned because of who they are.     

Anatomical limitations in mental transformations of body parts

Two experiments investigated whether possible and impossible body postures influence mental rotation processes differently considering that anatomical limitations constrain the way in which subjects perform mental transformations of body parts. In Experiment 1, mental rotation was performed on two stimuli presented simultaneously. Both possible and impossible body postures elicited mental rotation, although the mental rotation rate was slower for impossible postures. In Experiment 2, only one stimulus was presented at a time and subjects decided whether it represented a correct body-part configuration or not. A typical mental rotation function was only present for correct body-part configurations. The results are discussed in terms of the familiarity of the stimuli. Unfamiliar stimuli (physically impossible) are rotated via local representations of their parts, whilst global representations are used for rotating familiar (anatomically correct) stimuli.