Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions

An increasing number of culturally adapted family-level interventions address mental health disparities with marginalized populations in the United States. However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We conducted 12 elite phenomenological interviews with mental health scholars involved in prevention and intervention family research with various Latinx communities within and outside of the United States. These scholars discussed their experiences of overcoming barriers in their research. We used thematic analysis to code and analyze participant responses, and our findings support the gaps in previous literature and highlight potential pathways to overcoming barriers in cultural adaptation research. Themes included the need for: (a) better understanding of the intersection between culture and context; (b) community-centered approaches to addressing implementation challenges; and (c) structural changes within institutional, governmental, and political levels. We discuss implications for researchers and practitioners working with Latinx families.     

Concealability beliefs facilitate navigating intergroup contexts

Living in a diverse world requires the ability to navigate intergroup contexts. However, interacting with outgroup members can cause anxiety that leads to lower-quality interactions and avoidance of future contact. One reason people experience this anxiety is the concern that others will judge them on the basis of an identity. These concerns may be reduced among people who believe the identity is unperceivable by others. The belief that one's identity is concealable may therefore reduce intergroup anxiety and ease people's experiences in intergroup contexts. The present work tests this proposition in two studies and finds that individual differences in concealability beliefs are negatively associated with intergroup anxiety and positively associated with the propensity to initiate intergroup contact and with the quantity and quality of people's cross-group friendships. Materials, data, and code for both studies and a pre-registration for Study 2 are available online ( https://osf.io/4cjhg/ ).     

On the nature of intraindividual personality variability: reliability, validity, and associations with well-being

Intraindividual personality variability is a construct that reflects the extent to which a person's self-reported personality changes over time or across social roles. Past studies have linked variability with important outcomes such as adjustment and well-being. However, existing variability measures conflate mean-level variance with true change over time, and thus these past findings are questionable. Three studies were conducted to examine the psychometric properties of existing variability indexes and to develop a new index that does not suffer from the problem of conflated variance. This new index is reliable and valid and can predict actual changes in self-reports over time. However, once mean-level variance is removed, intraindividual variability is no longer related to well-being.     

Evaluating the independence of sex and expression in judgments of faces

Face recognition models suggest independent processing for functionally different types of information, such as identity, expression, sex, and facial speech. Interference between sex and expression information was tested using both a rating study and Garner's selective attention paradigm using speeded sex and expression decisions. When participants were asked to assess the masculinity of male and female angry and surprised faces, they found surprised faces to be more feminine than angry ones (Experiment 1). However, in a speeded-classification situation in the laboratory in which the sex decision was either "easy" relative to the expression decision (Experiment 2) or of more equivalent difficulty (Experiment 3), it was possible for participants to attend selectively to either dimension without interference from the other. Qualified support is offered for independent processing routes.     

A pragmatic guideline for evaluation of social intervention

Considering the many theoretical and methodological viewpoints in the field of evaluation, a guideline was established to facilitate the evaluation of social intervention programs. For this purpose, the goals of the evaluation were taken into account: (a) planning interventions, (b) learning and continuous improvement of interventions, (c) programming policies, and (d) transformation of society. These goals will determine the perspective of the analysis selected (focusing on the evaluand or the context) and the strategies for change employed (focusing on processes or results). The elements that, according to Shadish, Cook, and Levinton (1991), constitute the theory of evaluation (evaluand, value, building of knowledge, and uses) have also been considered. The analysis of all these components led to the elaboration of a guideline to orient the practice of evaluation from a pragmatic perspective, in accordance with the demands and needs of a certain social context.     

Evidence for several components of word familiarity

Familiarity with a word can be divided into two main components: familiarity with the form of the word (due to both its lexicality and its specific form) and familiarity with its meaning. In this study, ratings of familiarity were compared for words whose meaning was unknown to participants (UM words), for words of known meaning (KM words), and for unknown words (U words). Linguistic and experiential frequencies were equivalent. Rated familiarity was lower for UM than KM words and even lower for U words. Next, we built pseudowords from these stimuli by changing one letter and submitted them to two familiarity rating tasks that differed in the nature of the additional stimuli: either only nonwords or nonwords plus words. It was assumed that familiarity ratings would be lower for pseudowords built from UM words than for pseudowords built from KM words. The data were consistent with this assumption, and ratings depended on the initial categories of stimuli. These results support the view that usual word familiarity has two components, familiarity with form and familiarity with meaning, and a double source, processing of word form and processing of word meaning. The full set of these materials and norms may be downloaded from www.psychonomic.org/archive.     

Comparing Multicultural With General Counseling Knowledge and Skill Competency for Students Who Completed Counselor Training

This study evaluates the effectiveness of a counselor education program in teaching multicultural counseling knowledge and skills. Standardized examination scores and rater evaluations compare multicultural with general counseling knowledge and skill competency for students who completed a counseling master's program. The relationship between multicultural knowledge and multicultural and general skills is examined. Este estudio evalúa la efectividad de un programa educativo para consejeros a la hora de enseñar conocimientos y habilidades multiculturales en consejería. Se emplean tanto resultados estandarizados de exámenes como evaluaciones docentes para comparar los conocimientos de consejeria y la competencia en habilidades de tipo general con los multiculturales en estudiantes que han completado un Máster en Consejería. Se examina la relación entre conocimientos multiculturales y habilidades generales y multiculturales.     

降压达标治疗中的个体化原则与优化治疗

为了提高高血压患者的降压达标率、最大程度地降低靶器官损伤,一方面应强化生活方式的改变,包括戒烟限酒、低盐饮食、减轻体重和适量运动,另一方面,由于原发性高血压的发病是由多种复杂因素的不同组合引起,应根据不同个体的高血压发病机制及病因的差异,在指南的指导下,应用不同种类抗高血压药物(单用或联合用药),采用针对个体的优化治疗,才能更有效地使降压治疗达标。     

肾小球滤过率标志物应用评价

人们不断探索反映肾功能损伤的敏感指标。Cin被认为是反映GFR的“金标准”,但操作烦琐,甘露醇清除率略低,很少使用。尿素在肾脏灌注量降低时测得的GFR偏低,血肌酐的误差与尿标本的采集有关,血β2MG与GFR呈直线负相关,血RBP浓度的倒数与GFR有一定的相关性。胱抑素C在GFR轻度降低时即可升高,是反映肾功能损伤的敏感指标。