Emotional eating as a mediator between anxiety and cholesterol in population with overweight and hypertension

Although the relationship between cholesterol and mood states (especially anxiety) has been well studied, few researches have included the role of eating styles in this relationship. This study explored the associations among eating styles, negative emotional symptoms, and levels of cholesterol (and other medical variables) in a population with hypertension and overweight or obesity, analyzing the possible mediation mechanisms involved. A cross-sectional study was conducted in 68 adults with hypertension and overweight/obesity, and stepwise multiple regression analysis and mediation analyses were carried out to test the hypothesis that eating styles mediate the relationship between negative emotional symptoms and cholesterol. Several significant correlations among age, anthropometric, medical, and psychological variables (eating styles and negative emotional symptoms) were found. There was a significant indirect effect of anxiety on total cholesterol and LDL cholesterol through emotional eating. Results suggest that emotional eating has a relevant role in the rise in total and LDL cholesterol, acting as a mediator in the relationship between anxiety and cholesterol. This finding could have important implications, since it introduces a new variable in the relationship between emotions and cholesterol and, therefore, changes the way of understanding this relationship, and of treating high cholesterol in a hypertensive sample.     

Modelling elderly patients’ perception of the community pharmacist image when providing professional services*

Professional pharmaceutical services may impact on patient’s health behaviour as well as influence on patients’ perceptions of the pharmacist image. The Health Belief Model predicts health-related behaviours using patients’ beliefs. However, health beliefs (HBs) could transcend beyond predicting health behaviour and may have an impact on the patients’ perceptions of the pharmacist image. This study objective was to develop and test a model that relates patients’ HBs to patient’s perception of the image of the pharmacist, and to assess if the provision of pharmacy services (Intervention group-IG) influences this perception compared to usual care (Control group). A qualitative study was undertaken and a questionnaire was created for the development of the model. The content, dimensions, validity and reliability of the questionnaire were pre-tested qualitatively and in a pilot mail survey. The reliability and validity of the proposed model were tested using Confirmatory Factor Analysis (CFA). Structural Equation Modelling (SEM) was used to explain relationships between dimensions of the final model and to analyse differences between groups. As a result, a final model was developed. CFA concluded that the model was valid and reliable (Goodness of Fit indices: x²(80) = 125.726, p = .001, RMSEA = .04, SRMR = .04, GFI = .997, NFI = .93, CFI = .974). SEM indicated that ‘Perceived benefits’ were significantly associated with ‘Perceived Pharmacist Image’ in the whole sample. Differences were found in the IG with also ‘Self-efficacy’ significantly influencing ‘Perceived pharmacist image’. A model of patients’ HBs related to their image of the pharmacist was developed and tested. When pharmacists deliver professional services, these services modify some patients’ HBs that in turn influence public perception of the pharmacist.     

Toward Developing Laboratory-Based Parent–Adolescent Conflict Discussion Tasks that Consistently Elicit Adolescent Conflict-Related Stress Responses: Support from Physiology and Observed Behavior

Parent–adolescent conflict poses risk for youth maladjustment. One potential mechanism of this risk is that stress in the form of increased arousal during conflict interactions results in adolescents’ impaired decision-making. However, eliciting consistent adolescent stress responses within laboratory-based tasks of parent–adolescent conflict (i.e., conflict discussion tasks) is hindered by task design. This limitation may stem from how conflict topics are assessed and selected for discussion. Within a sample of 47 adolescents (ages 14–17) and parents, we investigated whether a modified version of a conflict discussion task could elicit physiological (i.e., arousal) and behavioral (i.e., hostility) displays of adolescents’ conflict-related stress responses. We assessed parent–adolescent conflict via structured interview to identify topics for dyads to discuss during the task. We randomly assigned dyads to complete a 5-min task to discuss either a putatively benign topic (i.e., control condition) or a conflict topic while undergoing direct assessments of continuous arousal. Trained raters coded dyad members’ hostile behavior during the task. Adolescents in the conflict condition exhibited significantly greater levels of arousal than adolescents in the control condition. We observed an interaction between discussion condition and baseline conflict. Specifically, higher baseline conflict predicted greater hostile behavior for adolescents in the conflict condition, yet we observed the inverse relation for adolescents in the control condition. Our modified laboratory discussion task successfully elicited both physiological and behavioral displays of adolescent conflict-related stress. These findings have important implications for leveraging experimental paradigms to understand causal links between parent–adolescent conflict and adolescent psychopathology, and their underlying mechanisms.     

Children’s understanding of depreciation in scenarios of envy and modesty

The aim of this study was to explore children’s understanding of depreciation when being presented with scenarios of envious or modest behavior. 123 Spanish children, six to eight years of age, decided how a character should respond when faced with a situation of envy or modesty. These situations were described in vignettes. The children chose between a response of either depreciation or admiration in the case of envy and between a response of either modesty or immodesty when faced with modest behavior. They were then asked to explain the reasons for their choices. Generally speaking, the results indicated that children rated self-depreciation in scenarios of modesty more highly than they did depreciation of another in situations of envy. An interaction effect showed that eight-year-old chose modest responses more than immodest ones, in contrast to the six-year-old. Conversely, age differences were not observed for the scenarios of envy. We discuss these results in light of the children’s explanations. Furthermore, the acquisition of emotional display rules is discussed, as well as the ability to manage emotions. Also, we discuss the truths and falsehoods of expression within the framework of social pragmatism in the selection of responses in both scenarios.     

“That Really Hurt,Charlie!” Investigating the Role of Sympathy and Moral Respect in Children's Aggressive Behavior

The authors examined the role of sympathy and moral respect in children's overt aggression, and the subtypes of proactive and reactive aggression, in an ethnically diverse sample of 5-, 7-, and 10-year-olds (N = 110). Aggressive behaviors were measured through teacher reports and peer nominations. Sympathy was assessed through teacher reports. Children reported on their moral respect within an interview procedure where they were asked for their feelings of respect toward hypothetical peers who displayed morally relevant behaviors. Results revealed that sympathy and moral respect were both negatively related to overt aggression and to the proactive aggression subtype, but unrelated to the reactive aggression subtype. The authors discuss the implications of the findings in relation to developmental research on the affective antecedents of children's aggressive behavior.     

When Authoritarians Confront Prejudice. Differential Effects of SDO and RWA on Support for Hate‐Speech Prohibition

Two nationwide representative studies (N = 653 adolescents; N = 1007 adults) investigated the psychological correlates of the intention to penalize public expressions of prejudice in the form of support for hate‐speech prohibition. We presented participants with preselected examples of hate speech from the Internet and other mass media and assessed their willingness to support the prohibition of public expressions of such remarks. Both studies found that social dominance orientation and right‐wing authoritarianism are positively correlated with outgroup prejudice, but they have differential effects on hate‐speech prohibition. Social dominance orientation was positively related to the acceptance of hate speech, whereas right‐wing authoritarianism was positively related to hate‐speech prohibition. In discussing this counterintuitive finding, we suggest that right‐wing authoritarians are particularly vigilant toward norm violations—and this makes them more punitive toward counternormative expressions of prejudice, such as hate speech.