PERCEPTIONS OF SEXUAL HARASSMENT

Two hundred eight faculty members and 314 graduate students located at a West Coast university were presented with 24 brief situations describing five types of sexual harassment in a university setting: gender harassment, seductive behavior, sexual bribery, sexual coercion, and sexual imposition or assault. The participants were randomly assigned to rate the situations under one of four instructional conditions that described combinations of the level of the student and authority of the faculty portrayed in the brief vignettes. Women were more likely than neither the target student's level (i.e., graduate or undergraduate) nor the degree of the faculty member's power over her affected the participants' ratings of the situations. The results indicated that, with the exception of the more coercive and intrusive behaviors, considerable uncertainty may still exist about what constitutes sexual harassment within the university setting.     

The Hall index of mystical spirituality: an exploration in constructing a short scale of mystical spirituality

ABSTRACT

The aim of this study was to propose a new nine-item measure of mystical spirituality which would be [as easy as possible] for “ordinary” people (those with little or no theological education) to complete. The measure was developed and tested on data provided by 602 participants within an on-line survey. The Hall Index of Mystical Spirituality displayed excellent properties of internal consistency reliability (reporting an alpha coefficient of .93) and good construct validity, in terms of its location within the four components of psychological space, defined by psychological type theory (reporting a correlation of .30 within the measure of intuition). As a new measure of mystical spirituality further research is needed to test the usefulness of this short scale.     

Estimation of Controlled Direct Effects in Longitudinal Mediation Analyses with Latent Variables in Randomized Studies

Abstract

In a randomized study with longitudinal data on a mediator and outcome, estimating the direct effect of treatment on the outcome at a particular time requires adjusting for confounding of the association between the outcome and all preceding instances of the mediator. When the confounders are themselves affected by treatment, standard regression adjustment is prone to severe bias. In contrast, G-estimation requires less stringent assumptions than path analysis using SEM to unbiasedly estimate the direct effect even in linear settings. In this article, we propose a G-estimation method to estimate the controlled direct effect of treatment on the outcome, by adapting existing G-estimation methods for time-varying treatments without mediators. The proposed method can accommodate continuous and noncontinuous mediators, and requires no models for the confounders. Unbiased estimation only requires correctly specifying a mean model for either the mediator or the outcome. The method is further extended to settings where the mediator or outcome, or both, are latent, and generalizes existing methods for single measurement occasions of the mediator and outcome to longitudinal data on the mediator and outcome. The methods are utilized to assess the effects of an intervention on physical activity that is possibly mediated by motivation to exercise in a randomized study.     

Development of the Uni Virtual Clinic: an online programme for improving the mental health of university students

ABSTRACT

There is growing recognition of the importance of addressing the mental health needs of young people attending university. Anonymous, scalable, and evidence-based online interventions can help to reduce burden on university services and increase access to care for marginalised or disconnected students. This paper reports the participatory design methods used to develop the Uni Virtual Clinic (UVC), a comprehensive online programme that was designed to prevent and treat mental health problems and related issues in university students. Data evaluating the participatory design process is also presented. The potential for the implementation of the UVC within university-based counselling services is strong, and has potential to reduce the prevalence of mental disorders in a high-risk group of young people.     

Psychological adjustment in patients post-curative treatment for oesophageal cancer: a longitudinal interview study

Objective: Oesophageal cancer is an increasingly prevalent disease with a demanding post-curative treatment recovery period and sustained longer-term effects. Although post-curative treatment is a key transitionary period, the process of psychological adjustment for the individual is under-researched which limits the evidence base to inform supportive care. The aim of this study was to understand the process of adjustment for oesophageal cancer patients post-curative treatment, in particular the beliefs participants hold regarding their condition and how these are appraised against their experience.

Design: Serial interviews were undertaken with six oesophageal cancer patients who have recently completed curative treatment, at baseline and at 6-month follow-up using interpretative phenomenological analysis.

Results: The findings demonstrate an effortful process of adjustment, including recognising and accepting a changed self, fostering control beliefs over the course of the illness and physical sequelae, searching for meaning, developing illness coherence and moving away from self-blame.

Conclusions: This study is the first to utilise a longitudinal qualitative design in oesophageal cancer, and provides an understanding of post-treatment adjustment over time for this clinical population through which to inform clinical practice and service development.